Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | OI60346812 | WA |
Y | 222Z00000X | Podiatrist | OI60346812 | WA |
N | 224P00000X | Prosthetist | PS60543865 | WA |
NPI | 1003240797 |
---|---|
Provider Name | Patrick Henry Stempski |
First Address | Seattle, WA 98115-6300 |
Second Address | Seattle, WA 98109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2013 |
Last Update Date | 10/03/2016 |