Individual
MICHAEL S DUDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2671 NE 46TH ST, SEATTLE, WA 98105-5041
(206) 525-8000
(206) 525-8070
Mailing address
2671 NE 46TH ST, SEATTLE, WA 98105-5041
(206) 525-8000
(206) 525-8070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00034162
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039577
LABOR AND INDUSTRIES#
WA
01
—
7166DU
BLUE SHIELD
WA
05
—
8219859
—
WA
01
—
US5038593
AETNA PCP PIN
WA
Enumeration date
08/09/2005
Last updated
11/27/2013
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