Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD00038082 | WA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD00038082 | WA |
NPI | 1912087982 |
---|---|
Provider Name | Michael Frederick Fialkow |
First Address | Seattle, WA 98195-6460 |
Second Address | Seattle, WA 98195-6460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 13/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
168990 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8285520 | (05) | WA |
H41467 | (02) |