Individual
MICHAEL JOHN ULISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1268 E MAIN ST, SUITE 1, AUBURN, WA 98002-5748
(253) 735-1991
(253) 735-8837
Mailing address
1268 E MAIN ST, SUITE 1, AUBURN, WA 98002-5748
(253) 735-1991
(253) 735-8837
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD6023722
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7117252
—
WA
Enumeration date
04/12/2006
Last updated
09/29/2014
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