Individual
JULIE A ULLOA-MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 S. MCCLELLAN ST, STE 200, SPOKANE, WA 99204-2456
(509) 747-1144
Mailing address
101 W 8TH AVE, MOTHER GAMELIN CTR, 3RD FLOOR, SPOKANE, WA 99204-2307
(509) 747-1144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A77057
CA
207R00000X
Internal Medicine Physician
Primary
MD00049275
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A770570
—
CA
Enumeration date
07/17/2006
Last updated
04/23/2021
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