Wandler, Bruce J

Wandler, Bruce J is an sole proprietor health care provider with primary practice located at 202 N Division St , Auburn WA 98001-4939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wandler, Bruce J can be contacted via phone (253) 804-2823.

Contact Information

Primary practice address
202 N Division St Auburn WA 98001-4939
Phone: (253) 804-2823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00015369 Washington

Profile Details

NPI number 1639114044
LBN Legal business name Wandler, Bruce J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2006
Last updated Nov 2nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639114044 NPPES
Washington Other 0200427 LABOR & INDUSTRY
Washington MEDICAID 1001066 LABOR & INDUSTRY

Popular Providers