Organization
FRANCISCAN MEDICAL GROUP
Active
Other names
Franciscan Anesthesia Associates, FMG-Lakes Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NOSACKA (CHIEF FINANCIAL OFFICE)
(253) 680-4005
Entity
Organization
Contact information
Practice address
1313 BROADWAY, SUITE 200, TACOMA, WA 98402-3400
(253) 426-6306
(253) 426-6344
Mailing address
1313 BROADWAY, SUITE 200, TACOMA, WA 98402-3400
(253) 426-6306
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002088
—
WA
01
—
299418
LABOR & INDUSTRIES
WA
Enumeration date
06/02/2008
Last updated
10/20/2021
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