Individual
DR. DANE KURT WINGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1660 S COLUMBIAN WAY, VA PUGET SOUND HEALTHCARE SYSTEM 116-MHC, SEATTLE, WA 98108-1532
(206) 277-3277
(106) 764-2946
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26610
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065259
—
WA
Enumeration date
08/29/2006
Last updated
11/05/2007
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