Individual
DR. MARK ROLAND NYREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34509 9TH AVE S STE 208, FEDERAL WAY, WA 98003-8709
(253) 944-3278
(253) 944-4345
Mailing address
34509 9TH AVE S STE 208, FEDERAL WAY, WA 98003-8709
(253) 944-3278
(253) 944-4345
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23476
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188615
STATE L&I
WA
01
—
0226625
STATE L&I
WA
01
—
0246079
STATE L&I
WA
01
—
0246499
STATE L&I
WA
Enumeration date
06/30/2006
Last updated
05/06/2011
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