institution
Tanya Wilke Family Medicine
Primary Care Clinic/Center in Enumclaw, Washington
NPI 1598155129

Tanya Wilke Family Medicine is a Primary Care Clinic/Center based in Enumclaw, WA and is specialized in Primary Care. Tanya Wilke Family Medicine practices in Enumclaw, WA. The NPI Number for Tanya Wilke Family Medicine is 1598155129 and holds a License No. MD60090609 (Washington).

The current practice location address for Tanya Wilke Family Medicine is 1427 Jefferson Ave, Enumclaw, WA and can be reached out via phone at 360-825-2849 and via fax at 360-825-5381.

Location: 1427 Jefferson Ave, Enumclaw, WA, 98022-3649
institution
Provider Profile Details
NPI Number
1598155129
Provider Name
Tanya Wilke Family Medicine
Credential
Provider Entity Type
Organization
Address
1427 Jefferson Ave, Enumclaw, WA, 98022-3649
Phone Number
360-825-2849
Fax Number
360-825-5381
Provider Enumeration Date
02/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0251251 01 WA STATE L&I
0274400 01 WA STATE L&I
institution
Provider Business Practice Location Address Details
Address
1427 Jefferson Ave
City
State
Zip
98022-3649
Phone Number
360-825-2849
Fax Number
360-825-5381
person
Provider Business Mailing Address Details
Address
1427 Jefferson Ave
City
State
Zip
98022-3649
Phone Number
360-825-2849
Fax Number
360-825-5381
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD60090609 (Washington)
Definition
Definition to come...
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