Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | MD00030940 | WA |
NPI | 1104877109 |
---|---|
Provider Name | Dr. Michael Eugene Blatner |
First Address | Bellevue, WA 98015-0150 |
Second Address | Burien, WA 98166-3049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2006 |
Last Update Date | 09/01/2008 |