Richard Wonderly, M.D.

NPI #1770573792 in Seattle, Washington

Provider Information

NPI Number: 1770573792
Entity Type: Individual
Name: Richard Wonderly, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Oct 21, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1101 MADISON ST
Address 2: SUITE 301
City: Seattle
State: Washington
ZIP Code: 98104-1306
Phone: (206) 505-1101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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