Individual
MICHAEL S MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-5791
(206) 598-1980
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD00037791
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231621
L&I
WA
05
—
1000239
—
WA
05
—
1003991811
—
WA
01
—
252490
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
06/11/2020
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