Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD00024451 | WA |
Y | 208600000X | Surgeon | MD00024451 | WA |
NPI | 1003875337 |
---|---|
Provider Name | Dr. Michael A Towbin |
First Address | Seattle, WA 98104-1172 |
Second Address | Kirkland, WA 98034-7467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 07/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A06479 | (02) | WA |