Individual
DR. MILTON LOWELL VAN HISE
Active
Individual
DR. MILTON LOWELL VAN HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
M-12379
ID
2085N0700X
Neuroradiology Physician
MD00038495
WA
2085N0700X
Neuroradiology Physician
MEDS8010
AK
2085R0202X
Diagnostic Radiology Physician
M-12379
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD00038495
WA
2085R0202X
Diagnostic Radiology Physician
MEDS8010
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017174
—
AK
01
—
135577
L&I PROVIDER NUMBER
WA
01
—
135652
L&I PROVIDER NUMBER
WA
01
—
154345
L&I PROVIDER NUMBER
WA
01
—
175556
L&I PROVIDER NUMBER
WA
05
—
1841278306
—
ID
01
—
204122
L & I PROVIDER NUMBER
WA
05
—
8255234
—
WA
Enumeration date
01/05/2006
Last updated
11/07/2019
Update your record
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