IndividualActive
Abe Bagniewski, DPM
NPI 1790790376 · Foot & Ankle Surgery Podiatrist · Olympia, WA
Provider details
- NPI number
- 1790790376
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- PO00000775 (WA)
Mailing address
165 Lilly Rd Ne Ste a
Olympia, WA 98506-5086
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2021-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.