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Individual

MICHAEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.P., C.P.

Contact information

Practice address
1300 44TH ST SE, EVERETT, WA 98203-2200
(425) 339-2559
(425) 339-1583
Mailing address
1300 44TH ST SE, EVERETT, WA 98203-2200
(425) 339-2559
(425) 339-1583

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
WA
224P00000X
Prosthetist
WA

Other

Enumeration date
11/27/2012
Last updated
06/12/2013
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