Individual
STANISLAU SUKHOTSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4311 11TH AVE NE, SUITE 200, SEATTLE, WA 98105
(206) 616-4001
Mailing address
4311 11TH AVE NE, SUITE 200, SEATTLE, WA 98105-6366
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60805564
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
06/25/2016
Last updated
06/08/2018
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