Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 60022957 | WA |
NPI | 1225286255 |
---|---|
Provider Name | Michael Mulligan |
First Address | Seattle, WA 98195-0001 |
Second Address | Albany, NY 12206-1048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2008 |
Last Update Date | 01/10/2020 |