Individual
JESSE LEE MIERZWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3124 S 19TH ST, STE 320, TACOMA, WA 98405-2433
(253) 301-5100
Mailing address
3124 S 19TH ST, STE 320, TACOMA, WA 98405-2433
(253) 301-5100
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD60271040
WA
Other
Enumeration date
07/20/2007
Last updated
02/26/2013
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