Individual
DR. MICHAEL J. FADICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 665-6087
(509) 665-6161
Mailing address
1215 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 665-6087
(509) 665-6161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00032835
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447256433
—
WA
01
—
P01410333
RR MEDICARE
WA
Enumeration date
06/23/2005
Last updated
03/03/2015
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