Individual
GARY D ENZMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MINOR AVE, SUITE 300, SEATTLE, WA 98104-2120
(206) 386-9500
(204) 386-9605
Mailing address
PO BOX 3489, SEATTLE, WA 98114-3489
(206) 386-9500
(206) 386-9605
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00015845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110074939
RR MEDICARE
WA
01
—
49324
L & I
WA
05
—
8152431
—
WA
Enumeration date
09/30/2005
Last updated
12/28/2009
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