Individual
MICHAEL K BELZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00035206
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD00035206
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039571
L & I
WA
01
—
806259600
IDAHO MEDICAID
WA
05
—
8210338
—
WA
01
—
BE5191
INDIVIDUAL BLUE SHIELD
WA
01
—
MD5206
ALASAKA DSHS
WA
Enumeration date
02/23/2006
Last updated
06/16/2021
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