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Individual

DANIEL W WALKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004365
WA
363AM0700X
Medical Physician Assistant
Primary
PA10004365
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000630
WA
01
166747
DEPT OF LABOR & INDRUSTRY
WA
01
6698WA
REGENCE BLUESHIELD
WA
01
80001669803
KPS HEALTH PLAN
WA
Enumeration date
10/04/2006
Last updated
09/14/2023
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