person
Mr. Stephen Larue Ettinger, MD
Student in an Organized Health Care Education/Training Program in Seattle, Washington
NPI 1710628904

Stephen Larue Ettinger is a Student in an Organized Health Care Education/Training Program based in Seattle, WA. Stephen Larue Ettinger practices in Seattle, WA and has the professional credentials of MD. The NPI Number for Stephen Larue Ettinger is 1710628904 and holds a License No. (Washington).

The current practice location address for Stephen Larue Ettinger is 325 9Th Ave, Seattle, WA and can be reached out via phone at 206-744-2122.

Location: 325 9Th Ave, Seattle, WA, 98104-2420
person
Provider Profile Details
NPI Number
1710628904
Provider Name
Stephen Larue Ettinger
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
325 9Th Ave, Seattle, WA, 98104-2420
Phone Number
206-744-2122
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 9Th Ave
City
State
Zip
98104-2420
Phone Number
206-744-2122
Fax Number
person
Provider Business Mailing Address Details
Address
325 9Th Ave
City
State
Zip
98104-2420
Phone Number
206-744-2122
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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