Individual
MARY H CZUK
Active
Individual
MARY H CZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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