Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | MD60794770 | WA |
NPI | 1003013426 |
---|---|
Provider Name | Dr. Jaime Marie Michaelson |
First Address | Seattle, WA 98112-5103 |
Second Address | Seattle, WA 98112-5103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 27/04/2021 |