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Individual
ROBERT WALTER GLAZEWSKI
Active
Individual
ROBERT WALTER GLAZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA10003728
WA
363A00000X
Physician Assistant
1039568
WA
363A00000X
Physician Assistant
PA10003728
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194427
LIWA
WA
01
—
0227451
LIWA
WA
05
—
7073596
—
WA
01
—
7910GL
LIWA
WA
05
—
8318719
—
WA
01
—
8413GL
BSWA
WA
Enumeration date
06/03/2006
Last updated
05/18/2021
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