Individual
DR. MICHAEL BRIAN VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4520 42ND AVE SW STE 34, SEATTLE, WA 98116-4240
(206) 937-4700
(206) 937-4778
Mailing address
4520 42ND AVE SW STE 34, SEATTLE, WA 98116-4240
(206) 937-4700
(206) 937-4778
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000396
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027366
—
WA
Enumeration date
12/06/2006
Last updated
11/17/2021
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