Individual
DR. MICHAEL AZIZ MISHALANIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
401 S 43RD ST, SUITE 110, RENTON, WA 98055-5404
(425) 226-5656
(425) 271-1488
Mailing address
401 S 43RD ST, SUITE 110, RENTON, WA 98055-5404
(425) 226-5656
(425) 271-1488
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0017065
WA
213ES0000X
Sports Medicine Podiatrist
0017065
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
0017065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017065
GRP 0056910 WORKERS COMP
WA
01
—
029382001
CIGNA MEDICARE
WA
01
—
192061900
US DEPT OF LABOR
—
01
—
911337710
PREMERA
WA
01
—
MI2246
GRP 5229 REGENCE
WA
Enumeration date
10/25/2005
Last updated
04/24/2017
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