Individual
MICHAEL D. WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 TALBOT RD S STE 300, RENTON, WA 98055-6238
(425) 228-6260
(425) 228-6262
Mailing address
4300 TALBOT RD S STE 300, RENTON, WA 98055-6238
(425) 228-6260
(425) 228-6262
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G58455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G584550
—
CA
Enumeration date
11/01/2006
Last updated
01/03/2024
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