Individual
DR. MILTON SIEGFRIED MICHAELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 CLARE AVE, BREMERTON, WA 98310-3330
(360) 479-6555
(360) 479-8321
Mailing address
57158 MEDINAH, LA QUINTA, CA 92253-6915
(760) 777-9378
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00011294
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1816107
—
WA
Enumeration date
06/29/2008
Last updated
06/29/2008
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