Individual
DR. JAMES H WEISENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8924 34TH AVE NE, TULALIP, WA 98271-8076
(369) 657-5273
Mailing address
4803 138TH ST NE, MARYSVILLE, WA 98271-7827
(360) 659-6160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
950TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005593
—
WA
Enumeration date
02/14/2007
Last updated
07/08/2007
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