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Individual

DR. IRINA D MILMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
620 SE EVERETT MALL WAY, ST. 220, EVERETT, WA 98208-3278
(425) 353-0808
(425) 353-0722
Mailing address
905 NW 200TH ST, SHORELINE, WA 98177-2137
(206) 931-9957
(425) 353-0722

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00042748
WA
208000000X
Pediatrics Physician
MD00042748
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1120534
WA
01
2227182
FIRST HEALTH
WA
01
6175MI
REGENCE
WA
Enumeration date
08/03/2005
Last updated
04/12/2017
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