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Individual

SETH J. STANKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4700 POINT FOSDICK DR NW STE 111, GIG HARBOR, WA 98335-1706
(253) 926-7344
(253) 426-6344
Mailing address
4700 POINT FOSDICK DR NW STE 111, GIG HARBOR, WA 98335-1706
(253) 926-7344
(253) 426-6344

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
DO29116
OR
2084N0400X
Neurology Physician
Primary
OP00001885
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264258
STATE L&I
WA
01
264261
STATE L&I
WA
01
264263
STATE L&I
WA
05
500605945
OR
05
8388886
WA
Enumeration date
01/02/2007
Last updated
03/25/2011
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