Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | MD00024917 | WA |
NPI | 1205932803 |
---|---|
Provider Name | Jan Zemplenyi |
First Address | Bellevue, WA 98004-3809 |
Second Address | Bellevue, WA 98004-3809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 19/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A50463 | (02) | WA |