Individual
DR. THEODORE DUNGAN MANDELKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2553 76TH AVE SE, MERCER ISLAND, WA 98040-2758
(206) 275-0702
Mailing address
2553 76TH AVE SE, MERCER ISLAND, WA 98040-2758
(206) 275-0702
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD00010762
WA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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