Individual
DR. EIN GUN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15906 MILL CREEK BLVD STE 105, MILL CREEK, WA 98012-1797
(425) 385-2009
Mailing address
15906 MILL CREEK BLVD STE 105, MILL CREEK, WA 98012-1797
(425) 385-2009
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
60604630
WA
207N00000X
Dermatology Physician
A127623
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD60604630
WA
Other
Enumeration date
03/29/2012
Last updated
01/29/2021
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