| Mr Michael R Dunniway, PAC | |
|
518 E Clay Ave, Chewelah, WA 99109-8947 | |
| (509) 935-8424 | |
| (509) 935-8402 |
| Full Name | Mr Michael R Dunniway |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 518 E Clay Ave, Chewelah, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851518625 | NPI | - | NPPES |
| 127374 | Other | WA | LABOR & INDUSTRIES ID # |
| 8400855 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10001093 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael R Dunniway, PAC 518 E Clay Ave, Po Box 198, Chewelah, WA 99109-8947 Ph: (509) 935-8424 | Mr Michael R Dunniway, PAC 518 E Clay Ave, Chewelah, WA 99109-8947 Ph: (509) 935-8424 |
Nellie Lucille Boone, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 E Webster Ave, Chewelah, WA 99109 Phone: 509-935-8211 Fax: 509-935-5257 | |
Ms. Carolyn Starr Fullmer, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Ms. Ann Margaret Putman, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 518 E Clay Ave, Chewelah, WA 99109 Phone: 509-935-8424 Fax: 509-935-8402 | |
Michael S Patterson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W Webster, Chewelah, WA 99109 Phone: 509-935-8211 | |
Bryan Kim Dority, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 518 E Clay Ave, Chewelah, WA 99109 Phone: 509-935-6004 |