Individual
DR. PETER BOLEK BRANT-ZAWADZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 ROCKEFELLER, STE 520, EVERETT, WA 98201-1677
(425) 297-5200
(425) 297-5210
Mailing address
PO BOX 3360, PROVIDENCE HEALTH & SERVICES, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
54144231205
UT
2086S0129X
Vascular Surgery Physician
Primary
MD60222893
WA
Other
Enumeration date
06/29/2007
Last updated
02/06/2015
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