Individual
DR. MICHAEL NEIL SHADLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2812
Mailing address
9830 43RD PL NE, SEATTLE, WA 98115-2602
(206) 526-7087
(206) 543-1196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00033820
WA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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