Provider Demographics
NPI:1407867690
Name:MARINKOVICH, FRANK F (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:F
Last Name:MARINKOVICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11415 SLATER AVE NE
Mailing Address - Street 2:102
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4656
Mailing Address - Country:US
Mailing Address - Phone:425-899-2525
Mailing Address - Fax:425-899-2526
Practice Address - Street 1:11415 SLATER AVE NE
Practice Address - Street 2:102
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4656
Practice Address - Country:US
Practice Address - Phone:425-899-2525
Practice Address - Fax:425-899-2526
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00028909207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA131556OtherLABOR & INDUSTRIES
WA1108323Medicaid
WAMA0425OtherREGENCE
WAGAB11762Medicare ID - Type Unspecified
WA1108323Medicaid