| Doctor Name: | DR. LOUIS CORNELIUS ENKEMA |
| NPI Number: | 1447281613 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD00017653 |
| Business Practice Address: | 7440 Pacific Ave Spanaway General Medical Clinic Tacoma, WA - 984087117 |
| Business Phone Number: | 2534750511 |
| Business Fax Number: | 2534757440 |
| Mailing Address: | 7440 Pacific Ave, Spanaway General Medical Clinic TACOMA |
| State: | WA |
| Postal Code: | 984087117 |
| Phone Number: | 2534750511 |
| Fax Number: | 2534757440 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 04/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00017653 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |