Individual
MAX WENTLANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1CT89, 325 NINTH AVENUE, SEATTLE, WA 98104-2499
(414) 217-6392
Mailing address
PO BOX 359702, SEATTLE, WA 98195-9702
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
12/20/2021
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