Provider Demographics
NPI:1902899206
Name:CUTLER, DAVID LAWRENCE (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LAWRENCE
Last Name:CUTLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 F ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3012
Mailing Address - Country:US
Mailing Address - Phone:360-733-3710
Mailing Address - Fax:360-733-7906
Practice Address - Street 1:1600 F ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3012
Practice Address - Country:US
Practice Address - Phone:360-733-3710
Practice Address - Fax:360-733-7906
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA420213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA060997001OtherGROUP HEALTH
WA7028715Medicaid
WA79372OtherLABOR INDUSTRIES
WA79372OtherLABOR INDUSTRIES
WA7028715Medicaid