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Individual
MICHAEL PRESTON UNDERBRINK
Active
Individual
MICHAEL PRESTON UNDERBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M6923
TX
207Y00000X
Otolaryngology Physician
MD00043509
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8392680
—
WA
01
—
P00477083
RR MCR PTAN
TX
Enumeration date
10/25/2006
Last updated
10/21/2019
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