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Individual

ROBERT MICHAEL KALUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1550 N 115TH ST, D-149B, SEATTLE, WA 98133-8401
(206) 368-1500
(206) 368-1503
Mailing address
6113 24TH AVE NE, SEATTLE, WA 98115-7023
(206) 632-2505
(206) 368-1503

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00039956
WA
207R00000X
Internal Medicine Physician
Primary
MD00039956
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110237174
RAIL ROAD MEDICARE
WA
01
310
INTERNAL ID-MOTOR VEHICLE ID
05
8320764
WA
Enumeration date
10/27/2006
Last updated
08/11/2010
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