Organization
VICTOR R. MICHALAK, MD
Active
Other names
Cosmetic Surgery & Dermatology, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR ROMAN MICHALAK MD (OWNER/PHYSICIAN)
(425) 391-2500
Entity
Organization
Contact information
Practice address
295 NE GILMAN BLVD, SUITE 101, ISSAQUAH, WA 98027-2906
(425) 391-2500
(425) 391-6464
Mailing address
295 NE GILMAN BLVD, SUITE 101, ISSAQUAH, WA 98027-2906
(425) 391-2500
(425) 391-6464
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7129554
—
WA
Enumeration date
05/30/2006
Last updated
06/16/2008
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