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Individual

FRED M DRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00022840
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039580
LABOR & INDUSTRY
WA
01
1811916489
MONTANA MEDICAID
WA
01
3366DR
BLUE SHIELD
WA
05
8113987
WA
01
P00190313
RAILROAD MEDICARE
WA
01
US4583038
AETNA/USHC SPECIALIST
WA
Enumeration date
07/18/2006
Last updated
12/03/2012
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