Provider Demographics
NPI:1023317542
Name:BRONEC, EMILY MARGARET HOULE (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MARGARET HOULE
Last Name:BRONEC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:MARGARET
Other - Last Name:HOULE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9431 COPPERTOP LOOP NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-3684
Mailing Address - Country:US
Mailing Address - Phone:206-780-5437
Mailing Address - Fax:
Practice Address - Street 1:9431 COPPERTOP LOOP NE
Practice Address - Street 2:SUITE A
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-3684
Practice Address - Country:US
Practice Address - Phone:206-780-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60224599208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics