Individual
MR. RAPHAEL NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
PROVIDENCE ST. PETER FAMILY MEDICINE, 525 LILLY RD NE, OLYMPIA, WA 98506
(360) 493-7525
Mailing address
PROVIDENCE ST. PETER FAMILY MEDICINE, 525 LILLY RD NE, OLYMPIA, WA 98506
(360) 493-7525
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
12/03/2024
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