Individual
BENJAMIN MATTHEW MICHAELS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
34515 9TH AVE S, FEDERAL WAY, WA 98003-6761
(253) 944-7966
(253) 944-7924
Mailing address
2518 S 364TH PL, FEDERAL WAY, WA 98003-7102
(253) 941-5291
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH00020722
WA
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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