Individual
DR. MARVIN W EIDINGER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4615 75TH ST SW, MUKILTEO, WA 98275-2554
(425) 430-8111
Mailing address
4615 75TH ST SW, MUKILTEO, WA 98275-2554
(425) 430-8111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
805
WA
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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