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1700827946
STEPHEN A WASILEWSKI
KETCHUM, ID
NPI
1700827946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: ID M5774)
Enumeration Date
2006-06-09
Last Update Date
2012-09-06
Business Address
-- STEPHEN A WASILEWSKI MD
191 5TH STREET WEST
KETCHUM, ID 83340
Phone number: 208-726-5207
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Mailing Address
-- STEPHEN A WASILEWSKI MD
PO BOX 587
TWIN FALLS, ID 83303-0587
Phone number: 208-814-7400
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