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Individual

STEPHANIE MICHALKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11800 NE 128TH ST STE 110, KIRKLAND, WA 98034
(425) 899-1555
Mailing address
11800 NE 128TH ST STE 110, KIRKLAND, WA 98034-7297
(425) 899-1555

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60879413
WA

Other

Enumeration date
05/14/2018
Last updated
09/11/2019
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