Individual
GILBERT N ONDUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M0847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173979901
—
TX
05
—
8510489
—
WA
01
—
8K6263
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/10/2006
Last updated
04/28/2021
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