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NPI Code Detail

MEDICARE: WENDY LEIGH HEUSCH DO

MEDICARE:   WENDY LEIGH HEUSCH  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianOP00002091WA

General Provider Information

NPI Number : 1912958562
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY LEIGH HEUSCH DO
Provider Business Mailing Address
First Line : 805 MADISON STREET
Second Line : SUITE 901
City : SEATTLE
State : WA
Zip : 98104
Country : US
Telephone Number : 206-264-8100
Fax Number : 206-264-8689
Provider Business Practice Location Address
First Line : 3801 5TH ST SE
Second Line : SUITE 110
City : PUYALLUP
State : WA
Zip : 98374-2106
Country : US
Telephone Number : 253-845-9585
Fax Number : 253-435-4785
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 10/18/2011

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Directions to “ WENDY LEIGH HEUSCH DO” Practice Location

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