Provider Demographics
NPI:1336250638
Name:BRESSLER, MARK FRANKLIN (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:FRANKLIN
Last Name:BRESSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:85 NW ALDER PL
Mailing Address - Street 2:#A
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-3201
Mailing Address - Country:US
Mailing Address - Phone:425-391-5533
Mailing Address - Fax:425-391-0276
Practice Address - Street 1:85 NW ALDER PL
Practice Address - Street 2:#A
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-3201
Practice Address - Country:US
Practice Address - Phone:425-391-5533
Practice Address - Fax:425-391-0276
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA00023182207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A06213Medicare UPIN