Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD60064125 | WA |
NPI | 1033104252 |
---|---|
Provider Name | Thomas J Grabowski JR. |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 08/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033104252 | (05) | WA |
F05217 | (02) |