Individual
MICHAEL TOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1344 WINTERGREEN LN NE, BAINBRIDGE ISLAND, WA 98110
(206) 842-5632
(206) 842-5992
Mailing address
1344 WINTERGREEN LN NE, BAINBRIDGE ISLAND, WA 98110-5118
(206) 842-5632
(206) 842-5992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037854
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0294992
L AND I
WA
01
—
262519
LABOR & INDUSTRIES
WA
05
—
8260010
—
WA
01
—
P00922338
RAIL ROAD MEDICARE
WA
01
—
P01051934
RAILROAD MEDICARE
WA
Enumeration date
03/10/2006
Last updated
06/13/2018
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