Individual
DR. MICHAEL TEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1427 JEFFERSON AVE, 102, ENUMCLAW, WA 98022-3649
(360) 802-0803
(360) 802-0806
Mailing address
720 N 10TH ST, A111, RENTON, WA 98057-5525
(360) 802-0803
(360) 802-0806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 00043030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119285
—
WA
Enumeration date
10/27/2006
Last updated
12/24/2014
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