Theodore R Manullang, MD Valid NPI

Individual provider · Anesthesiology Physician · Bellevue, WA

NPI

1821037243

Type

Individual (Type 1)

Primary specialty

Anesthesiology Physician (Anesthesiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207L00000X

License number

MD00037431 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-05

Last updated

2007-11-09