Individual
DR. MICHAEL ANDREW DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00040664
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD00040664
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0237273
L&I-RADIA REST OF WA
WA
05
—
1093030
—
WA
05
—
1871680447
—
WA
Enumeration date
10/06/2006
Last updated
04/30/2019
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