Individual
MICHAEL SUPERFISKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-6420
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
100429
GU
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60660939
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578927935
—
WA
Enumeration date
04/11/2016
Last updated
06/09/2025
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