DR. Harold Herman Randecker JR., MD

NPI #1891914370 in Lake Stevens, Washington

Provider Information

NPI Number: 1891914370
Entity Type: Individual
Name: DR. Harold Herman Randecker JR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery - Vascular Surgery
Credential: MD
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2011

Practice Location

Address: 1814 90TH DR SE
City: Lake Stevens
State: Washington
ZIP Code: 98258-3791
Phone: (425) 829-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Surgery - Trauma Surgery — Trauma Surgery	2086S0127X
Surgery	208600000X

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