Individual
DR. MARK T. BRAKSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1560 N 115TH ST, SUITE 102, SEATTLE, WA 98133-8414
(206) 363-2882
(206) 363-4172
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00029189
WA
Other
Enumeration date
05/19/2006
Last updated
10/10/2011
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