Organization
MYLAUREL MEDICAL GROUP WA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANKO KOLVEK (COO)
(347) 497-2452
Entity
Organization
Contact information
Practice address
8756 GRAND AVE NE, BAINBRIDGE ISLAND, WA 98110-2905
(917) 613-9004
Mailing address
885 3RD AVE FL 29, NEW YORK, NY 10022-4834
(917) 613-9004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
02/11/2026
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