Individual
IAN MACNIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-6008
(206) 598-1869
Mailing address
4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-4740
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60638680
WA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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