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Individual

ALAN G GREENWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 344-0400
(360) 344-0418
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 344-0400
(360) 344-0418

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00017256
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0209843
DEPT. OF LABOR & INDUSTRI
WA
05
8455255
WA
Enumeration date
06/19/2006
Last updated
05/29/2008
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