Individual
MARK S CICHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 NE BIRCH ST, COUPEVILLE, WA 98239
(360) 678-2020
(360) 678-6228
Mailing address
PO BOX 1227, COUPEVILLE, WA 98239-1227
(360) 678-2020
(360) 678-6228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00020388
WA
Other
Enumeration date
07/06/2005
Last updated
02/11/2008
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