Individual
DR. LOUIS CORNELIUS ENKEMA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7440 PACIFIC AVE, SPANAWAY GENERAL MEDICAL CLINIC, TACOMA, WA 98408-7117
(253) 475-0511
(253) 475-7440
Mailing address
7440 PACIFIC AVE, SPANAWAY GENERAL MEDICAL CLINIC, TACOMA, WA 98408-7117
(253) 475-0511
(253) 475-7440
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00017653
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117028
—
WA
Enumeration date
07/06/2006
Last updated
04/04/2014
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