Individual
MICHAEL WAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10053712
TX
207R00000X
Internal Medicine Physician
OP60854908
WA
208M00000X
Hospitalist Physician
Primary
OP60854908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108953
—
WA
Enumeration date
03/07/2016
Last updated
05/20/2025
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