Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mercer Island Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1194928697

Mercer Island Family Medicine, PLLC provides Family Medicine Physician services in Mercer Island, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3003 Island Crest Way
Mercer Island, WA 98040-2998
Phone: (586) 850-4645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP00002196 (WA)

Record details

NPI number1194928697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Fannin — President · (586) 850-4645
NPI enumeratedJune 11, 2007
Last updated in NPPESAugust 22, 2020
Mailing address54196 Katherine Wood Dr, Macomb, MI 48042-2315

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