Individual
BENJAMIN WILFOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2174
(206) 987-2639
Mailing address
PO BOX 50010, SEATTLE, WA 98105-1010
(206) 987-8450
(206) 987-8484
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D54108
MD
2080P0214X
Pediatric Pulmonology Physician
Primary
MD00046647
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
575001600
—
MD
Enumeration date
06/20/2006
Last updated
03/23/2012
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