Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD00041501 | WA |
NPI | 1548247067 |
---|---|
Provider Name | Filiz Millik |
First Address | Silverdale, WA 98383-8903 |
Second Address | Silverdale, WA 98383-8903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2005 |
Last Update Date | 08/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1123975 | (05) | WA |
8866037 | MEDICARE ID (01) | WA |
H74812 | (02) |