Individual
DR. JAN WALECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 N WASHINGTON ST, KAISER PERMANENTE FALLS CHURCH MEDICAL CENTER, FALLS CHURCH, VA 22046-4518
(703) 237-4000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101037798
VA
2085R0202X
Diagnostic Radiology Physician
D31797
MD
2085R0202X
Diagnostic Radiology Physician
MD12739
DC
Other
Enumeration date
11/16/2006
Last updated
12/06/2012
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