Individual
MR. MICHAEL J YOUNG
Active
Individual
MR. MICHAEL J YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10005080
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217917
L & I
WA
01
—
G8863519
MEDICARE POSM
WA
01
—
G8876709
MEDICARE EMRI
WA
01
—
P00669278
MEDICARE RR KING CO.
WA
Enumeration date
01/18/2007
Last updated
05/13/2024
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