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Individual

DAVID CLAYTON SHINSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1286 MOUNT BAKER RD STE B102, EASTSOUND, WA 98245-8931
(360) 376-7778
(360) 376-7706
Mailing address
1286 MOUNT BAKER RD STE B102, EASTSOUND, WA 98245-8931
(360) 376-7778
(360) 376-7706

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17180
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8156101
WA
Enumeration date
06/26/2006
Last updated
01/06/2012
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