Individual
DARIUSZ WALCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14416 33RD DR SE, MILL CREEK, WA 98012-5028
(425) 350-8481
(425) 357-0941
Mailing address
14416 33RD DR SE, MILL CREEK, WA 98012-5028
(425) 350-8481
(425) 357-0941
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00035997
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189643
L&I
—
01
—
5642WA
B/S REGENCE 90
—
05
—
8243529
—
WA
Enumeration date
07/07/2006
Last updated
03/03/2021
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