Provider Demographics
NPI:1942243175
Name:ROES, WILLIAM FREDRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FREDRICK
Last Name:ROES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:VAUGHN
Mailing Address - State:WA
Mailing Address - Zip Code:98394-0129
Mailing Address - Country:US
Mailing Address - Phone:253-884-9221
Mailing Address - Fax:253-884-5523
Practice Address - Street 1:15610 89TH ST CT KPN
Practice Address - Street 2:
Practice Address - City:LAKEBAY
Practice Address - State:WA
Practice Address - Zip Code:98349
Practice Address - Country:US
Practice Address - Phone:253-884-9221
Practice Address - Fax:253-884-5523
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00017572207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine