Individual
MICHELLE SUZANNE EDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4700 POINT FOSDICK DR STE 211, GIG HARBOR, WA 98335-1706
(253) 851-5665
Mailing address
4700 POINT FOSDICK DR STE 211, GIG HARBOR, WA 98335-1706
(253) 851-5665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
61330229
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
06/04/2026
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