Individual
HARVEY I J NIEBULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 16TH AVE EAST, SEATTLE, WA 98112-5260
(206) 326-3260
(206) 326-3654
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00024731
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8108953
—
WA
Enumeration date
01/19/2007
Last updated
04/28/2021
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