Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD00038062 | WA |
NPI | 1023031119 |
---|---|
Provider Name | Miguel A Schmitz |
First Address | Spokane, WA 99208-6291 |
Second Address | Spokane, WA 99208-6291 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 24/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8511032 | (05) | WA |