Individual
ROBERT L WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00012116
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039589
LABOR & INDUSTRY
WA
01
—
390003068
RAILROAD MEDICARE
—
05
—
8269409
—
WA
01
—
MD211WA
ALASKA MEDICAID
WA
01
—
US0818851
AETNA/USHC PCP
WA
01
—
US0899920
AETNA/USHC SPECIALIST
WA
01
—
W568
BLUE SHIELD
WA
Enumeration date
08/23/2006
Last updated
10/09/2008
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