Individual
MICHAEL E WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E POTTAWATAMIE ST, TECUMSEH, MI 49286-2018
(517) 423-2141
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
082677
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
082677
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285689851
—
MI
05
—
2890171
—
OH
05
—
4559264
—
MI
05
—
4559273
—
MI
01
—
MW082677
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/23/2006
Last updated
06/11/2009
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