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Individual

ALAN J WILENSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00015022
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0232185
L&I
WA
01
1032
INTERNAL ID-MOTOR VEHICLE ID
01
130024834
RAILROAD MEDICARE
WA
05
1376629196
WA
05
8416307
WA
Enumeration date
10/27/2006
Last updated
01/23/2012
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