Individual
DR. GARY LEE WASLEWSKI
Active
Individual
DR. GARY LEE WASLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
27254
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3983
HEALTHNET
AZ
05
—
490061
—
AZ
Enumeration date
09/05/2005
Last updated
07/30/2019
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