Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | MD2009-0449 | NM |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD2009-0449 | NM |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD2009-0449 | NM |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD60527918 | WA |
NPI | 1942498357 |
---|---|
Provider Name | Dr. Michael James Nuara |
First Address | Seattle, WA 98101-2756 |
Second Address | Seattle, WA 98101-2756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2007 |
Last Update Date | 05/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BN9062756 | DEA (01) |