Individual
JESSE WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-1000
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT193623
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD600454731
WA
390200000X
Student in an Organized Health Care Education/Training Program
MT193623
PA
Other
Enumeration date
07/03/2008
Last updated
07/30/2024
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