Individual
MICHELLE MARIE MONTALBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2430 NW MYHRE RD, SUITE 101, SILVERDALE, WA 98383-7669
(360) 337-1177
(360) 337-1170
Mailing address
2430 NW MYHRE RD, STE 101, SILVERDALE, WA 98383-7669
(360) 337-1177
(360) 337-1170
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00045790
WA
208000000X
Pediatrics Physician
MD00045790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156MO
REGENCE BLUE SHIELD
WA
01
—
205756
LABOR & INDUSTRIES
WA
01
—
7691645
AETNA
—
05
—
8454597
—
WA
Enumeration date
05/24/2006
Last updated
03/07/2023
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