Individual
BENJAMIN R MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 MARTIN LUTHER KING JR WAY STE 401, TACOMA, WA 98405-4266
(253) 403-6850
Mailing address
316 MARTIN LUTHER KING JR WAY STE 401, TACOMA, WA 98405-4266
(253) 403-6850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL18162
OR
207R00000X
Internal Medicine Physician
MD60456731
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD604456731
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD60456731
WA
Other
Enumeration date
07/21/2008
Last updated
07/28/2014
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