Basic Information
Provider Information
NPI: 1447335278
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALTEMEIER
FirstName: WILLIAM
MiddleName: ARTHUR
NamePrefix:  
NameSuffix: IV
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 50095
Address2:  
City: SEATTLE
State: WA
PostalCode: 981455095
CountryCode: US
TelephoneNumber: 2065436420
FaxNumber:  
Practice Location
Address1: UNIVERSITY OF WASHINGTON MEDICAL CTR
Address2: 1959 NE PACIFIC ST
City: SEATTLE
State: WA
PostalCode: 981956166
CountryCode: US
TelephoneNumber: 2065984615
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/27/2006
LastUpdateDate: 01/24/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001XMD00032090WAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

ID Information
IDTypeStateIssuerDescription
144733527805WA MEDICAID
023065401WAL&IOTHER
020601 INTERNAL ID-MOTOR VEHICLE IDOTHER


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