Individual
MICHAEL MIELNICZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-5400
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61080711
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013471663
—
WA
Enumeration date
01/29/2019
Last updated
10/12/2020
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