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Individual

GWENN A GARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 744-3992
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00038189
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0231047
L&I
WA
05
1982780797
WA
01
28960
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/27/2006
Last updated
02/20/2013
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