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Dr. Bonnie J. Witrak, MD
Neuroradiology Physician in Lynnwood, Washington
NPI 1720066293

Bonnie J. Witrak is a Neuroradiology Physician based in Lynnwood, WA and is specialized in Neuroradiology. Bonnie J. Witrak practices in Lynnwood, WA and has the professional credentials of MD. The NPI Number for Bonnie J. Witrak is 1720066293 and holds a License No. M-12423 (Washington).

The current practice location address for Bonnie J. Witrak is 19020 33Rd Ave W Ste 210, Lynnwood, WA and can be reached out via phone at 425-563-1500 and via fax at 425-563-1501.

Location: 19020 33Rd Ave W Ste 210, Lynnwood, WA, 98036-4748
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Provider Profile Details
NPI Number
1720066293
Provider Name
Bonnie J. Witrak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
19020 33Rd Ave W Ste 210, Lynnwood, WA, 98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1501
Provider Enumeration Date
01/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720066293 05 ID
117424 01 WA L&I PROVIDER NUMBER
120220 01 WA L&I PROVIDER NUMBER
224089 01 WA L&I PROVIDER NUMBER
8131740 05 WA
204125 01 WA L&I PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
19020 33Rd Ave W Ste 210
City
State
Zip
98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1501
person
Provider Business Mailing Address Details
Address
19020 33Rd Ave W Ste 210
City
State
Zip
98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1501
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
MD00022896 (Washington)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
M-12423 (Idaho)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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