MR. PAWEL MICHAL DUTKIEWICZ


Address: 826 Alder St, South Bend, WA 98586
Phone: 3608755579

MR. PAWEL MICHAL DUTKIEWICZ (NPI# 1275890097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275890097
Entity Type Individual
Full Name MR. PAWEL MICHAL DUTKIEWICZ
Credential M.D.
Practice Address 826 Alder St
South Bend
WA 98586
Mailing Address Po Box 269
South Bend
WA 98586-0269
Practice Telephone 3608755579
Practice Fax Number 3608755235
Mailing Telephone 3608755579
Mailing Fax Number 3345663768
Enumeration Date 2012-04-18
Last Update Date 2019-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD60752511 WA Allopathic & Osteopathic Physicians
N 208D00000X General Practice MD34383 AL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
826 Alder St, South Bend, WA 98586 3608755579 3608755235

Office Location

Street Address 826 ALDER ST
City SOUTH BEND
State WA
Zip Code 98586

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417991530 Michael Charles Buben Family Medicine 826 Alder St, South Bend, WA 98586-4900 2006-06-16
1457967275 April Degennaro Nurse Practitioner 826 Alder St, South Bend, WA 98586-4900 2020-09-17
1780712174 Sherry A Franks Physician Assistant 826 Alder St, South Bend, WA 98586-4900 2007-02-28
1760582522 Pacific County Hospital District 2 Family Medicine 826 Alder St, South Bend, WA 98586-4900 2006-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558843243 Rachel Anne Adamyk Physical Therapy Assistant 1010 Robert Bush Drive West, South Bend, WA 98586 2018-08-30
1437651106 Lori Craig Ashley Registered Nurse 1216 W Robert Bush Drive, South Bend, WA 98586 2018-03-08
1265823694 Rehabvisions Therapy Wa, LLC Clinic/Center 1010 W Robert Bush Drive, South Bend, WA 98586 2015-02-06
1902133648 Martha Denise May Counselor 1006 West Robert Bush Drive, South Bend, WA 98586 2009-11-16
1063652493 Diane Lee Geiger Massage Therapist 1010 W Robert Bush Dr, Box 211, South Bend, WA 98586 2009-02-25
1861654824 Washington Physical Therapy Clinic/Center 1010 West Robert Bush Drive, South Bend, WA 98586 2008-06-30
1508081217 County of Pacific Public Health or Welfare 1216 West Robert Bush Drive, South Bend, WA 98586 2007-04-16
1255481826 Ernest Dale Geiger Physical Therapist 1010 Robert Bush Drive, South Bend, WA 98586 2007-01-12
1417036997 Willapa Harbor Pharmacies Inc Pharmacy 101 Willapa Ave, South Bend, WA 98586 2006-11-03
1235163908 Michael James Reeves Nurse Anesthetist, Certified Registered 800 Alder Street, South Bend, WA 98586 2006-07-10
Find all providers in zip 98586

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285998146 Thomas Larsen Family Medicine 4440 Portage Ave, South Bend, IN 46628-9570 2012-06-26
1316180318 Paul Angelo Carl Macri Family Medicine 2012 Cedar St, South Bend, IN 46617-2542 2009-04-07
1285818591 Jaroslaw Kuna Family Medicine 320 S Saint Joseph St Ste 300, South Bend, IN 46601-2308 2007-12-21
1013117472 Ronald E Grow Inc Family Medicine 810 W Indiana Ave, South Bend, IN 46613-1828 2007-07-23
1124241211 Trixy Franke Family Medicine 837 E. Cedar St., Ste 100, South Bend, IN 46617 2007-04-10
1225185739 Michael J. O'connell D.o. Inc Family Medicine 17960 Cleveland Road, South Bend, IN 46635 2007-01-05
1679620579 Mark R. Neff Family Medicine 804 Lancaster Dr, South Bend, IN 46614-2020 2007-01-04
1437216587 David Wood Baxter Family Medicine 115 E Cripe St, South Bend, IN 46637-3402 2007-01-01
1477635944 Alan Snell Family Medicine 837 East Cedar St., Ste 100, South Bend, IN 46617 2006-10-20
1437240694 Brian Anthony Jacobs Family Medicine 610 N Michigan Street, Suite 308, South Bend, IN 46601 2006-09-27
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 98586

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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