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Dr. Abe Charles Bagniewski, DPM
Foot & Ankle Surgery Podiatrist in Olympia, Washington
NPI 1790790376

Abe Charles Bagniewski is a Foot & Ankle Surgery Podiatrist based in Olympia, WA and is specialized in Foot & Ankle Surgery. Abe Charles Bagniewski practices in Olympia, WA and has the professional credentials of DPM. The NPI Number for Abe Charles Bagniewski is 1790790376 and holds a License No. PO00000775 (Washington).

The current practice location address for Abe Charles Bagniewski is 165 Lilly Rd Ne, Olympia, WA and can be reached out via phone at 360-438-9092.

Location: 165 Lilly Rd Ne, Olympia, WA, 98506-5086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790790376
Provider Name
Abe Charles Bagniewski
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
165 Lilly Rd Ne, Olympia, WA, 98506-5086
Phone Number
360-438-9092
Fax Number
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0204603 01 WA STATE L&I
1001166 05 WA
8940526 01 WA CRIME VICTIMS
institution
Provider Business Practice Location Address Details
Address
165 Lilly Rd Ne
City
Olympia
State
Washington
Zip
98506-5086
Phone Number
360-438-9092
Fax Number
person
Provider Business Mailing Address Details
Address
165 Lilly Rd Ne
City
Olympia
State
Washington
Zip
98506-5086
Phone Number
360-438-9092
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO00000775 (Washington)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO00000775 (Washington)
Definition
Definition to come...
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