Individual
MITCHELL E NUDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1535 116TH AVE NE, STE 100, BELLEVUE, WA 98004-3812
(425) 455-0244
Mailing address
1535 116TH AVE NE, STE 100, BELLEVUE, WA 98004-3812
(425) 455-0244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000105068
—
WA
Enumeration date
06/25/2006
Last updated
07/22/2010
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