Individual
PETER Y ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 258-3900
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00036311
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039515
L & I
WA
01
—
050071892
RAILROAD MEDICARE
WA
05
—
8243669
—
WA
01
—
AC5531
INDIVIDUAL BLUE SHIELD
WA
Enumeration date
02/10/2006
Last updated
07/16/2013
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