Individual
BRIAN D MCINNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0000582
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039598
LABOR & INDUSTRY
WA
01
—
480025768
RAILROAD MEDICARE
—
05
—
8209637
—
WA
01
—
MC2163
BLUE SHIELD
WA
01
—
US0863649
AETNA/USHC SPECIALIST
WA
Enumeration date
08/04/2006
Last updated
04/07/2008
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