person
Gretchen T Wambach, PA-C
Medical Physician Assistant in Sequim, Washington
NPI 1174555932

Gretchen T Wambach is a Medical Physician Assistant based in Sequim, WA and is specialized in Medical. Gretchen T Wambach practices in Sequim, WA and has the professional credentials of PA-C. The NPI Number for Gretchen T Wambach is 1174555932 and holds a License No. PA10004382 (Washington).

The current practice location address for Gretchen T Wambach is 565 Eureka Way, Sequim, WA and can be reached out via phone at 360-582-0808 and via fax at 360-683-5678.

Location: 565 Eureka Way, Sequim, WA, 98382-5074
person
Provider Profile Details
NPI Number
1174555932
Provider Name
Gretchen T Wambach
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
565 Eureka Way, Sequim, WA, 98382-5074
Phone Number
360-582-0808
Fax Number
360-683-5678
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8358285 05 WA
6999WA 01 WA REGENCE
80001669803 01 WA KPS
AB38563 01 WA MEDICARE ID
800016698 01 WA PREMERA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
565 Eureka Way
City
State
Zip
98382-5074
Phone Number
360-582-0808
Fax Number
360-683-5678
person
Provider Business Mailing Address Details
Address
565 Eureka Way
City
State
Zip
98382-5074
Phone Number
360-582-0808
Fax Number
360-683-5678
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10004382 (Washington)
Definition
Definition to come...
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