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Individual

DR. MAGDALENA M WALCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15 SW EVERETT MALL WAY, SUITE A, EVERETT, WA 98204-2715
(425) 348-6727
(877) 860-2291
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(877) 860-2291

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00036101
WA
208D00000X
General Practice Physician
MD00036101
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8225195
WA
01
P01447969/DV4997
RAILROAD MEDICARE- EFF 1/13/14
WA
Enumeration date
01/02/2007
Last updated
06/18/2015
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