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Individual

BENJAMIN JONATHAN WOLPAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
1959 NE PACIFIC ST RM BB-527, BOX 356421, SEATTLE, WA 98195-6421

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60766924
WA
208M00000X
Hospitalist Physician
Primary
MD60766924
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710371646
WA
Enumeration date
03/28/2015
Last updated
07/01/2019
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