Provider Demographics
NPI:1386630903
Name:SCHLITT, MICHAEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:SCHLITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3915 TALBOT RD S
Mailing Address - Street 2:NUMBER 206
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5738
Mailing Address - Country:US
Mailing Address - Phone:425-271-3600
Mailing Address - Fax:425-656-5034
Practice Address - Street 1:3915 TALBOT RD S
Practice Address - Street 2:NUMBER 206
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5738
Practice Address - Country:US
Practice Address - Phone:425-271-3600
Practice Address - Fax:425-656-5034
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2021-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00026449207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1120310Medicaid
WA61226OtherL & I
WA61226OtherL & I
WA1120310Medicaid