Individual
DR. EUGENE W. WASYLENKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7012 VISTA DEL ARROYO AVE NE, ALBUQUERQUE, NM 87109-2933
(505) 884-7813
Mailing address
7012 VISTA DEL ARROYO AVE NE, ALBUQUERQUE, NM 87109-2933
(505) 884-7813
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
NM 72-245
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29173
—
NM
Enumeration date
04/26/2007
Last updated
07/08/2007
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