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Individual

DR. MICHAEL HATZAKIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4140 FACTORIA BLVD SE STE A, BELLEVUE, WA 98006-5261
(425) 389-4200
(425) 389-4100
Mailing address
4140 FACTORIA BLVD SE STE A, BELLEVUE, WA 98006-5261
(425) 389-4200
(425) 389-4100

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00039697
WA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD00039697
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD00039697
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0201840
L&I NUMBER
WA
Enumeration date
03/02/2006
Last updated
12/20/2019
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