Individual
JOEL JEFFREY WACKERBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 15TH AVE E, SEATTLE, WA 98112-5103
(206) 326-3000
(206) 326-2785
Mailing address
310 15TH AVE E, SEATTLE, WA 98112-5103
(206) 326-2785
(206) 326-2785
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
125069608
IL
Other
Enumeration date
06/23/2016
Last updated
10/27/2022
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