| NPI | 1194866509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZBIGNIEW M GRUDZIEN General Practitioner 360-750-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: WA MD00039350) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-07-16 |