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MR. MICHAEL CORSILLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8639 36TH AVE SW, SEATTLE, WA 98126-3609
(206) 380-5202
Mailing address
2100 116TH AVE NE, BELLEVUE, WA 98004-3016
(425) 467-1314

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
NT00001187
WA
363A00000X
Physician Assistant
Primary
PA60191026
WA

Other

Enumeration date
02/15/2007
Last updated
09/06/2018
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