Individual
MARK HENRY GENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 495-3500
(360) 495-4423
Mailing address
7105 GALLAGHER COVE RD NW, OLYMPIA, WA 98502-9368
(360) 866-0844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00012957
WA
Other
Enumeration date
07/26/2006
Last updated
07/09/2007
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