Individual
LOUIS SCOTT COOK SHINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 688-5645
(425) 688-5101
Mailing address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 688-5645
(425) 688-5101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60069616
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19578
RESIDENT PERMIT
MN
Enumeration date
05/07/2008
Last updated
03/15/2021
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