Individual provider · Type 1 NPI

Lola Mudgistratova Wise, MD

Emergency Medicine Physician · Renton, WA

NPI number 1609309533 Active

Practice location

400 S 43rd St
Renton, WA 98055-5714

Call (206) 661-2563 Map

Mailing address

3321 104th Pl SE
Everett, WA 98208-4538

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XMD60963016 (WA)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1609309533

Lola Mudgistratova Wise, MD's National Provider Identifier is 1609309533, issued on Apr 7, 2017. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Renton, WA. The record was last updated on Jan 31, 2025.