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1942367438
PETER B. VANWAGENEN
TACOMA, WA
NPI
1942367438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WA MD00017550)
Enumeration Date
2007-01-03
Last Update Date
2008-05-07
Business Address
-- PETER B. VANWAGENEN M.D.
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4265
Phone number: 253-596-3300
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Mailing Address
-- PETER B. VANWAGENEN M.D.
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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