Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mylaurel Medical Group Wa, PLLC

Organization General Practice Physician · NPI 1689557340

Mylaurel Medical Group Wa, PLLC is a General Practice Physician in Bainbridge Island, Washington. Registered with an NPI since 2025.

In the registry since
2025
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

8756 Grand Ave NE
Bainbridge Island, WA 98110-2905
Phone: (917) 613-9004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1689557340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Branko Kolvek — Coo · (347) 497-2452
NPI enumeratedJuly 30, 2025
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address885 3rd Ave Fl 29, New York, NY 10022-4834

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