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MR. TIMOTHY MICHAEL PANEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
33573 NE 42ND ST, CARNATION, WA 98014-8747
(425) 333-6743
Mailing address
33573 NE 42ND ST, CARNATION, WA 98014-8747
(425) 333-6743

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005383
WA

Other

Enumeration date
06/04/2007
Last updated
07/08/2007
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