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Individual

MONICA ANNE WILHELM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
150 DENNIS ST SW, TUMWATER, WA 98501-5459
(360) 754-6367
(360) 754-6429
Mailing address
201 TAHOMA BLVD, UNIT 102, YELM, WA 98597-7735
(360) 754-6367
(360) 754-6429

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037774
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137935
LABOR & INDUSTRIES
WA
05
8253171
WA
Enumeration date
05/08/2006
Last updated
05/03/2017
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