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Individual

DR. MICHAEL R PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12501 E MARGINAL WAY S STE 200, TUKWILA, WA 98168-5163
(844) 344-4209
(866) 721-9696
Mailing address
12501 E MARGINAL WAY S STE 200, TUKWILA, WA 98168-5163
(844) 344-4209
(866) 721-9696

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
247990
AK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
80068
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A90731
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD60329707
WA

Other

Enumeration date
05/30/2007
Last updated
02/26/2026
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