Individual
MICHAEL B BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3200
Mailing address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00043444
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186832
L & I NUMBER
WA
05
—
8399016
—
WA
Enumeration date
07/12/2006
Last updated
05/18/2021
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