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Individual

ROBERT H. ZWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
208 S. 14TH STREET, MOUNT VERNON, WA 98274
(360) 814-2600
(360) 814-8390
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00020040
WA
208600000X
Surgery Physician
MD00020040
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1016570
WA
01
263665
LABOR & INDUSTRIES
WA
05
8325607
WA
Enumeration date
04/14/2006
Last updated
06/17/2015
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