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Individual

DR. CHRISTIAN HERTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3916 148TH ST SE, MILL CREEK, WA 98012-4751
(425) 332-6948
(425) 304-1102
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 332-6948
(425) 304-1102

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00026744
WA
207QA0505X
Adult Medicine Physician
26744
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8202764
WA
Enumeration date
08/27/2007
Last updated
01/08/2020
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