Individual
MICHAEL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5316 RAINIER AVE S, SEATTLE, WA 98118-2354
(206) 721-5600
(206) 326-3825
Mailing address
5316 RAINIER AVE S, SEATTLE, WA 98118-2354
(206) 721-5600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61166939
WA
Other
Enumeration date
03/21/2019
Last updated
08/03/2022
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