Individual
MICHAEL JOHN PERSENAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1536 N 115TH ST, SEATTLE, WA 98133-8400
(206) 598-3344
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD60653140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437449535
—
WA
Enumeration date
04/11/2011
Last updated
11/28/2016
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