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ESRAVILA WIBISONO, MD
MD
Internal Medicine Physician
NPI: 1972233708IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Code: 390200000X
06-0646844(CT)
CMS Specialties
PrimaryINTERNAL MEDICINE
Education
OTHER
Class of 2018
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Contact & Hours
- Address
- 10004 204TH AVE E STE 2200
BONNEY LAKE, WA 98391 - Phone
- (253) 447-3300
Quick Facts
- NPI
- 1972233708
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 8
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