Individual
TOMASZ M ZIEDALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12728 19TH AVE. SE, SUITE 200, EVERETT, WA 98208-6647
(425) 252-1116
(425) 252-1118
Mailing address
12728 19TH AVE SE, SUITE 200, EVERETT, WA 98208-6647
(425) 252-1116
(425) 252-1118
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00043384
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00043384
WA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD00043384
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186417
LABOR AND INDUSTRY
WA
05
—
8395766
—
WA
01
—
MD00043384
STATE LICENSE NUMBER
WA
01
—
P00145102
RAILROAD MEDICARE
WA
01
—
P00717628
RAILROAD MEDICARE
WA
Enumeration date
06/08/2006
Last updated
04/16/2013
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