Individual
DR. PETER R MANDT
Active
Individual
DR. PETER R MANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00023819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0182419
L & I
WA
01
—
G8861216
MEDICARE POSM
WA
01
—
G8899975
MEDICARE EMRI
WA
01
—
P00284046
MEDICARE RR KING CO.
WA
Enumeration date
03/16/2006
Last updated
05/15/2012
Update your record
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