Organization
PREMIER PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA OSTRADICKY DPM (OWNER)
(206) 432-1883
Entity
Organization
Contact information
Practice address
1702 DEXTER AVE N, SEATTLE, WA 98109-3021
(206) 432-1883
Mailing address
PO BOX 9086, SEATTLE, WA 98109-0086
(206) 432-1883
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO60074559
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P00773702
—
WA
Enumeration date
11/15/2010
Last updated
02/14/2011
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