Individual
JOSEPH WYHAM NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
611 12TH AVE S STE 200, SEATTLE, WA 98144-1911
(206) 324-9360
Mailing address
611 12TH AVE S, STE 200, SEATTLE, WA 98144-1911
(206) 324-9360
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P000000319
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1297506
—
WA
01
—
71502
L & I
WA
01
—
NG0036
REGENCE
—
Enumeration date
10/19/2006
Last updated
07/21/2022
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