Individual
DANIEL JAMES HIMELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(360) 802-8320
Mailing address
26405 7TH AVE S, DES MOINES, WA 98198-9303
(520) 647-4046
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60471428
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2010
Last updated
10/12/2021
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