Organization
VICTOR R. MICHALAK
Active
Other names
dba Cosmetic Surgery & Dermatology of Issaquah, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA KNOTT (PRACTICE ADMINISTRATOR)
(425) 391-2500
Entity
Organization
Contact information
Practice address
295 NE GILMAN BLVD, SUITE 101, ISSAQUAH, WA 98027
(425) 391-2500
(425) 391-6464
Mailing address
295 NE GILMAN BLVD, SUITE 101, ISSAQUAH, WA 98027-2906
(425) 391-2500
(425) 391-6464
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
50-C0001197
WA
Other
Enumeration date
05/15/2006
Last updated
08/07/2018
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