| Doctor Name: | DR. MAGDALENA M WALCZAK |
| NPI Number: | 1841357621 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD00036101 |
| Business Practice Address: | 15 Sw Everett Mall Way Suite A Everett, WA - 982042715 |
| Business Phone Number: | 4253486727 |
| Business Fax Number: | 8778602291 |
| Mailing Address: | 200 Oceangate, Suite 100 LONG BEACH |
| State: | CA |
| Postal Code: | 908024317 |
| Phone Number: | 5624996191 |
| Fax Number: | 8778602291 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 06/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00036101 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |