Provider Demographics
NPI:1023188463
Name:DUNNER, DAVID LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LOUIS
Last Name:DUNNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7525 SE 24TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2336
Mailing Address - Country:US
Mailing Address - Phone:206-230-0330
Mailing Address - Fax:206-230-0336
Practice Address - Street 1:7525 SE 24TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2336
Practice Address - Country:US
Practice Address - Phone:206-230-0330
Practice Address - Fax:206-230-0336
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00170912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA04404Medicare UPIN