Individual
DEITER MICHAEL KAIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
134 188TH ST S, SPANAWAY, WA 98387-4618
(253) 847-8856
Mailing address
101 E 26TH ST, TACOMA, WA 98421-1108
(253) 597-4550
(253) 722-1546
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10005325
WA
363AM0700X
Medical Physician Assistant
PA9116089
FL
Other
Enumeration date
10/29/2007
Last updated
06/22/2022
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