Individual
DR. KRISTOFER THOMAS CHEREPUSCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 CENTRAL WAY, KIRKLAND, WA 98033-6104
(425) 635-6470
Mailing address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61544049
WA
Other
Enumeration date
06/18/2021
Last updated
08/13/2024
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