Individual
DR. BRUCE J WANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 N DIVISION ST, AUBURN, WA 98001-4939
(253) 804-2823
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00015369
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200427
LABOR & INDUSTRY
WA
05
—
1001066
—
WA
Enumeration date
06/19/2006
Last updated
11/02/2012
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