Individual
MICHAEL ALLEN ANDERSON
Active
Individual
MICHAEL ALLEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60419014
WA
363AM0700X
Medical Physician Assistant
Primary
MA063449
PA
Other
Enumeration date
10/29/2013
Last updated
05/02/2026
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