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Individual

MICHAEL C DAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00034585
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114284
L&I
WA
05
1366477267
WA
01
315770
L&I POST 7/21/13
WA
01
P01257177
RR MEDICARE
WA
Enumeration date
07/11/2006
Last updated
02/17/2014
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