Individual
MICHAEL JOSEPH OLDS
Active
Individual
MICHAEL JOSEPH OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
M000033584
WA
207YX0901X
Otology & Neurotology Physician
Primary
MD00033584
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092621
—
WA
01
—
122610
L & I
WA
01
—
40012408
RAILROAD MEDICARE
WA
Enumeration date
05/13/2006
Last updated
08/23/2023
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