Individual
RYAN MATTHEW WOLTERBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 GUARDFISH ST, SILVERDALE, WA 98315-2001
(360) 315-4090
Mailing address
1519 ALASKAN WAY S, MEDICAL, SEATTLE, WA 98134-1102
(206) 217-6432
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/23/2023
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