Organization
GENESIS OBSTETRICS AND GYNECOLOGY PLLC
Active
Organization
GENESIS OBSTETRICS AND GYNECOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTE B MAEHREN D.O. (OWNER)
(253) 460-7777
Entity
Organization
Contact information
Practice address
314 MARTIN LUTHER KING JR WAY, SUITE 401, TACOMA, WA 98405-4250
(253) 460-7777
Mailing address
314 MARTIN LUTHER KING JR WAY, SUITE 401, TACOMA, WA 98405-4250
(253) 460-7777
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
OP00001459
WA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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