Individual
ANDREW N WILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
Mailing address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00016987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126700
L & I
WA
01
—
80138550
RAILROAD
WA
05
—
8205007
—
WA
01
—
8928597
CRIME VICTIMS
WA
Enumeration date
07/07/2006
Last updated
11/17/2010
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