Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HAROLD HERMAN RANDECKER JR., MD
Active Sole ProprietorDR. HAROLD HERMAN RANDECKER JR., MD is a Vascular Surgery healthcare provider located in LAKE STEVENS, Washington. NPI 1891914370 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · LAKE STEVENS, WA
Registration Details
- NPI Number
- 1891914370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.332580366404 yrs)
- Last Updated
- Jul 8, 2011
- Licenses
-
14276 (WA)14276 (WA)14276 (WA)14276 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1814 90TH DR SELAKE STEVENS, WA, 982583791Browse WA providers · Browse ZIP 98258
- Phone
- 4258290700
- Fax
- 2532163635
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
- Additional Specialty
- Trauma Surgery
- Additional Specialty
- General Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.