Individual
DR. MICHAEL AZIZ MISHALANIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
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
Update your record
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