Individual
MAUDE RANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., F.R.C.S.C.
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122
(206) 998-4506
Mailing address
1425 SPRING STREET, APT 906, SEATTLE, WA 98104
(819) 238-9865
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MFE.FE.61542363
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2024
Last updated
12/20/2024
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