Doctor Name: | IRENE MARY PIEKARSKI |
NPI Number: | 1619906880 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD00025863 |
Business Practice Address: | 1507 Ne 150th St Shoreline, WA - 981557221 |
Business Phone Number: | 2063635353 |
Business Fax Number: | 2063637335 |
Mailing Address: | 1507 Ne 150th St, SHORELINE |
State: | WA |
Postal Code: | 981557221 |
Phone Number: | 2063635353 |
Fax Number: | 2063637335 |
NPI Enumeration Date: | 07/01/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD00025863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |