Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD00040248 | WA |
NPI | 1164461331 |
---|---|
Provider Name | Dr. Mitchell David Cahn |
First Address | Northbrook, IL 60062-1900 |
Second Address | Kent, WA 98032-6910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 07/11/2018 |