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Adam John Wallenta, PA-C
Medical Physician Assistant in Bellingham, Washington
NPI 1790310977

Adam John Wallenta is a Medical Physician Assistant based in Bellingham, WA and is specialized in Medical. Adam John Wallenta practices in Bellingham, WA and has the professional credentials of PA-C. The NPI Number for Adam John Wallenta is 1790310977 and holds a License No. PA61218697 (Washington).

The current practice location address for Adam John Wallenta is 3130 Squalicum Pkwy, Bellingham, WA and can be reached out via phone at 360-671-4509.

Location: 3130 Squalicum Pkwy, Bellingham, WA, 98225-1766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790310977
Provider Name
Adam John Wallenta
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3130 Squalicum Pkwy, Bellingham, WA, 98225-1766
Phone Number
360-671-4509
Fax Number
Provider Enumeration Date
03/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3130 Squalicum Pkwy
City
Bellingham
State
Washington
Zip
98225-1940
Phone Number
360-671-4509
Fax Number
person
Provider Business Mailing Address Details
Address
3130 Squalicum Pkwy
City
Bellingham
State
Washington
Zip
98225-1940
Phone Number
360-671-4509
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA61218697 (Washington)
Definition
Definition to come...
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