Individual provider · NPI-1

Jason M Grosdidier, MD

Family Medicine · East Wenatchee, WA

NPI number1972534832
StatusActive
Last updated in NPPESJun 21, 2022

Details

NPI
1972534832
Entity type
Individual (NPI-1)
Name
Jason M Grosdidier
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 6, 2006
Certification date
Jun 21, 2022
Last updated
Jun 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00043600WAYes

Practice location

100 Highline Dr
East Wenatchee, WA 98802-5341

Phone 509-884-0614

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028

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