Individual
HEIDI J IWANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3501 NE 91ST ST, SEATTLE, WA 98115-3696
(206) 557-1992
(206) 557-1998
Mailing address
3501 NE 91ST ST, SEATTLE, WA 98115-3696
(206) 557-1992
(206) 557-1998
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60151743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014912800
—
MN
Enumeration date
10/03/2006
Last updated
08/28/2024
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