Individual
DR. VICTOR ROMAN MICHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 NE GILMAN BLVD, SUITE 101, ISSAQUAH, WA 98027-2906
(425) 391-2500
(425) 391-6464
Mailing address
295 NE GILMAN BLVD, SUITE 101, ISSAQUAH, WA 98027-2906
(425) 391-2500
(425) 391-6464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00024607
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063817
—
WA
Enumeration date
05/17/2006
Last updated
07/08/2007
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