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Individual

DR. GUDRUN GERTRUD MARGARETA MURTI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15230 15TH AVE NE, SHORELINE, WA 98155-7130
(206) 361-3577
(206) 361-5246
Mailing address
1250 NW 120TH ST, SEATTLE, WA 98177-4637
(206) 361-5583
(206) 361-5583

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00034038
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8204042
DSHS
WA
Enumeration date
11/08/2005
Last updated
07/08/2007
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