Individual
DR. CHARLES RYAN MERICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 SW KLICKITAT WAY, SUITE 205, SEATTLE, WA 98134-1161
(206) 662-7747
(206) 467-1470
Mailing address
PO BOX 34245, SEATTLE, WA 98124-1245
(206) 662-7747
(206) 467-1470
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD 60443645
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1627901
—
AK
05
—
2036556
—
WA
Enumeration date
03/30/2010
Last updated
08/04/2015
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