Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE DUNGAN MANDELKORN, MD
Active Sole ProprietorDR. THEODORE DUNGAN MANDELKORN, MD is a Developmental-Behavioral Pediatrics healthcare provider located in MERCER ISLAND, Washington. NPI 1922167220 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · MERCER ISLAND, WA
Registration Details
- NPI Number
- 1922167220
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2006 (19.703630403251 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD00010762 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2553 76TH AVE SEMERCER ISLAND, WA, 980402758Browse WA providers · Browse ZIP 98040
- Phone
- 2062750702
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
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.