Individual
DR. ALLEN MICHAEL ERNSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 769-6057
Mailing address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 769-6057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037511
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000001
ST OF WA
WA
05
—
1124452
—
WA
05
—
805115300
—
ID
Enumeration date
10/05/2006
Last updated
03/02/2016
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