Individual
DR. MICHAELA OSTRADICKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1702 DEXTER AVE N, SEATTLE, WA 98109-3021
(206) 522-6640
(206) 527-0147
Mailing address
PO BOX 9086, SEATTLE, WA 98109-0086
(206) 522-6640
(206) 527-0147
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO60074559
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO60074559
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8548521
—
WA
01
—
P00773702
RAILROAD MEDICARE
WA
01
—
PO60074559
LICENSE #
WA
Enumeration date
04/06/2009
Last updated
11/29/2011
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