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Individual

DR. EDWARD M GACEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7000
Mailing address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7000

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD00022939
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008168
WA
01
110219614
RAILROAD MEDICARE
01
1110GA
REGENCE BLUE SHIELD RIDER
Enumeration date
03/07/2006
Last updated
06/06/2012
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