Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 4301093158 | MI |
NPI | 1003066366 |
---|---|
Provider Name | Michael S Grabinski |
First Address | Seattle, WA 98104-1132 |
Second Address | Seattle, WA 98104-1132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2008 |
Last Update Date | 07/08/2015 |