Organization
J. MICHAELSON, JR. M.D. FACOG, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS MICHAELSON, JR. M.D. (PRESIDENT)
(253) 697-2453
Entity
Organization
Contact information
Practice address
1703 S MERIDIAN STE 301, PUYALLUP, WA 98371-7590
(253) 697-2453
Mailing address
1703 S MERIDIAN STE 301, PUYALLUP, WA 98371-7590
(253) 697-2453
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00031843
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1088277
—
WA
Enumeration date
09/05/2007
Last updated
04/29/2011
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