# J. MICHAELSON, JR. M.D. FACOG, P.S.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518151224
- **Authorized official:** JULIUS MICHAELSON, JR. M.D. (PRESIDENT)
- **Authorized official phone:** (253) 697-2453

## Contact information

- **Practice address:** 1703 S MERIDIAN STE 301, PUYALLUP, WA 98371-7590
- **Practice address phone:** (253) 697-2453
- **Mailing address:** 1703 S MERIDIAN STE 301, PUYALLUP, WA 98371-7590
- **Mailing address phone:** (253) 697-2453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD00031843 | WA | Yes |

## Other

- **Enumeration date:** 09/05/2007
- **Last updated:** 04/29/2011