Individual
PETER BACIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00023712
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8239949
—
WA
Enumeration date
02/23/2006
Last updated
11/07/2025
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