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Individual

MARY H CZUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD00037197
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039592
LABOR & INDUSTRY
WA
05
8244493
WA
01
CZ3312
BLUE SHIELD
WA
01
MD3719
ALASKA MEDICAID
WA
01
US7330017
AETNA/USHC SPECIALIST
WA
Enumeration date
07/19/2006
Last updated
04/07/2008
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