Individual
JUSTIN H PIASECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11511 CANTERWOOD BLVD STE 310, GIG HARBOR, WA 98332-5820
(253) 858-5040
(888) 843-2412
Mailing address
9515 64TH ST NW STE 310, GIG HARBOR, WA 98335-5631
(253) 509-4438
(888) 843-2412
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00049097
WA
208200000X
Plastic Surgery Physician
MD00049097
WA
Other
Enumeration date
04/06/2006
Last updated
05/01/2020
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