Individual
MR. DIMITRI D KUZNETSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1274 7TH ST, SUITE B, PORT TOWNSEND, WA 98368
(360) 385-2905
(360) 385-6796
Mailing address
PO BOX 555, PORT TOWNSEND, WA 98368
(360) 385-5852
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00042014
WA
Other
Enumeration date
09/01/2006
Last updated
12/29/2007
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