Individual
MICHAEL P. THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
13266
WI
207L00000X
Anesthesiology Physician
Primary
MD00018370
WA
207L00000X
Anesthesiology Physician
MD211415
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134167943
—
WA
Enumeration date
06/03/2006
Last updated
03/05/2025
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