Individual
DR. DOUGLAS EDWARD WRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S 11TH ST, SUNNYSIDE, WA 98944-2243
(509) 839-6822
(509) 839-5913
Mailing address
PO BOX 957, SUNNYSIDE, WA 98944-0957
(509) 839-6822
(509) 839-5913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0026187
WA
207VX0000X
Obstetrics Physician
MD00026187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7097108
—
WA
Enumeration date
11/01/2006
Last updated
06/26/2012
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