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Individual

MICHAEL S MORISHIMA

Active
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Individual

MICHAEL S MORISHIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00014881
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039587
LABOR & INDUSTRY
WA
01
300041913
RAILROAD MEDICARE
01
806325900
IDAHO MEDICAID
WA
05
8179806
WA
01
MD8811
ALASKA MEDICAID
WA
01
MO5847
BLUE SHIELD
WA
01
US0862957
AETNA/USHC SPECIALIST
WA
Enumeration date
08/04/2006
Last updated
04/02/2012
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