Individual
DR. MARK ERNEST GAULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9911 N NEVADA ST, SPOKANE, WA 99218-1298
(509) 626-9420
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 252-9602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50935
WI
207R00000X
Internal Medicine Physician
Primary
MD60563130
WA
208000000X
Pediatrics Physician
50935
WI
208000000X
Pediatrics Physician
MD60563130
WA
Other
Enumeration date
06/25/2007
Last updated
05/18/2021
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