Search › Washington › 2080P0006X
Theodore Mandelkorn, MD
NPI 1922167220 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2553 76th Ave Se
Mercer Island, WA 98040 - Phone
- (206) 275-0702
- Organisation at this address
- Mercer Island Pediatric Associates
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 2080P0006X
2080P0006X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington