Individual
MICHAEL MILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 ROCKEFELLER AVE, EVERETT, WA 98201-1684
(425) 339-5442
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
42486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023545
—
WA
Enumeration date
09/14/2006
Last updated
12/13/2012
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