Individual
DR. MICHAEL SCOT FISHMAN
Active
Individual
DR. MICHAEL SCOT FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00029650
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00029650
WA
2085R0204X
Vascular & Interventional Radiology Physician
MD00029650
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
257475
LNI PROVIDER ID
WA
05
—
8151136
—
WA
Enumeration date
07/15/2007
Last updated
11/12/2024
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