Individual
MICHAEL CHARLES PREVITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3915 TALBOT RD S, STE 104, RENTON, WA 98055-5738
(425) 656-5566
(425) 656-5567
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD60295988
WA
2084V0102X
Vascular Neurology Physician
Primary
MD60295988
WA
Other
Enumeration date
08/31/2006
Last updated
08/16/2013
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