Individual provider · NPI-1

Malik F. Fuimaono, MD

Internal Medicine · Mount Vernon, WA

NPI number1487884573
StatusActive
Last updated in NPPESNov 9, 2010

Details

NPI
1487884573
Entity type
Individual (NPI-1)
Name
Malik F. Fuimaono
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 23, 2009
Last updated
Nov 9, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD60095480WAYes
208M00000X HospitalistMD6009580WA
208M00000X HospitalistMD60095480WA

Practice location

1415 E. Kincaid Street
Mount Vernon, WA 98274

Phone 360-416-5750 · Fax 360-416-5758

Mailing address

1400 E. Kincaid Street
Mount Vernon, WA 98274-4127

Phone 360-428-2500 · Fax 360-428-6485

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