Individual
SERBAN I IONESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 N STANLEY ST STE D, MEDICAL LAKE, WA 99022-8939
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60196034
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000093181
BCBS PROVIDER NUMBER
MT
05
—
0031096
—
MT
Enumeration date
02/24/2006
Last updated
02/16/2011
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