LAKE WILDERNESS MEDICAL CLINIC LLC

Exclusive Provider Organization · MAPLE VALLEY, WA

Organization Active NPI 1982879045

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Exclusive Provider Organization302F00000XMD00023662WA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.