Individual
DR. DEAN RICHARD FELLABAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 REID ST., ATTN: MCHJ-QCR, TACOMA, WA 98431-0001
(253) 968-2252
(253) 968-3278
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 REID ST., ATTN: MCHJ-QCR, TACOMA, WA 98431-0001
(253) 968-2252
(253) 968-3278
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22902
NE
Other
Enumeration date
03/08/2006
Last updated
07/08/2014
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