Provider Demographics
NPI:1801059225
Name:MIN, GEORGE GUIHO (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:GUIHO
Last Name:MIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10047 MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6019
Mailing Address - Country:US
Mailing Address - Phone:425-463-9883
Mailing Address - Fax:425-968-4631
Practice Address - Street 1:10047 MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6019
Practice Address - Country:US
Practice Address - Phone:425-463-9883
Practice Address - Fax:425-968-4631
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2014-04-04
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Provider Licenses
StateLicense IDTaxonomies
WAMD-60001040208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7145600Medicaid
WA8534828Medicaid
WAG8876646Medicare PIN
WA7145600Medicaid