Individual
MICHAEL A INGRAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
7212 151ST ST SW, EDMONDS, WA 98026-4024
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00021544
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8318628
—
WA
Enumeration date
05/17/2006
Last updated
07/08/2007
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