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Individual

MICHAEL WATROBKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
220 UNITY ST, BELLINGHAM, WA 98225-4420
(360) 676-6177
(360) 671-3574
Mailing address
700 W IRONWOOD DR, SUITE 220 E, COEUR D ALENE, ID 83814-2656

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-1450
ID
363AM0700X
Medical Physician Assistant
Primary
PA60753618
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA-1450
STATE LICENSE
ID
Enumeration date
11/09/2016
Last updated
05/20/2024
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