Individual
DR. MICHAEL DE HAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(206) 244-1212
(206) 244-1223
Mailing address
2304 HUGHES AVE SW, SEATTLE, WA 98116-1836
(206) 938-1419
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00025426
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165305
DEPT OF LABOR & INDUSTRIE
WA
05
—
1053479
—
WA
01
—
5628DE
REGENCE BLUE SHIELD
WA
01
—
8934230
CRIME VICTIMS PGM
WA
Enumeration date
11/08/2005
Last updated
03/26/2015
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