Individual
DR. EDWARD MICHAEL BEDNARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2041 EAST SIMS WAY, PORT TOWNSEND, WA 98368
(360) 301-1596
Mailing address
2489 HIGHLAND LOOP, PORT TOWNSEND, WA 98368-5914
(360) 301-1596
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0003295
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024271
—
WA
01
—
912925809-01
KPS HEALTH PLAN
WA
Enumeration date
10/02/2006
Last updated
09/29/2007
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