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Individual

MICHELLE GLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4400 37TH AVE S, SEATTLE, WA 98118
(206) 461-6957
(206) 461-7810
Mailing address
905 SPRUCE ST, STE. 300, SEATTLE, WA 98104
(206) 461-6935
(206) 461-8382

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004344
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8374357
WA
Enumeration date
10/03/2006
Last updated
07/08/2007
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