Individual
DR. GWYNETH BLATTAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12519 N DIVISION ST, SUITE 6, SPOKANE, WA 99218-1389
(509) 290-6149
(855) 474-9086
Mailing address
12519 N DIVISION ST, SUITE 6, SPOKANE, WA 99218-1936
(509) 290-6149
(855) 474-9086
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD60271577
WA
Other
Enumeration date
01/10/2007
Last updated
02/16/2015
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