Individual
GANDIS G. MAZEIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21701 76TH AVE W STE 206, EDMONDS, WA 98026-7536
(425) 636-2400
(425) 636-2401
Mailing address
16150 NE 85TH ST STE 203, REDMOND, WA 98052-3543
(206) 427-4242
(425) 636-2401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00038659
WA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
MD00038659
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110972
—
WA
Enumeration date
06/19/2006
Last updated
10/12/2022
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