Individual
VIKTOR V STAKHNYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-2621
Mailing address
12303 NE 130TH LN STE 405, KIRKLAND, WA 98034-3059
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61097874
WA
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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