Individual
FRANK J. CERVENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 253-2800
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00021172
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1169507
—
WA
01
—
232658
L&I
WA
Enumeration date
01/05/2007
Last updated
08/07/2009
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