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Individual

DR. JULIUS MICHAELSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1703 S MERIDIAN, SUITE 301, PUYALLUP, WA 98371-7590
(253) 697-2453
(253) 845-3768
Mailing address
1703 S MERIDIAN, SUITE 301, PUYALLUP, WA 98371-7590
(253) 697-2453
(253) 845-3768

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00031843
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1088277
WA
Enumeration date
05/10/2007
Last updated
05/03/2011
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