Provider Demographics
NPI:1336334986
Name:WALDMAN, MICHAEL JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:WALDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9927 MICKELBERRY RD NW
Mailing Address - Street 2:SUITE 131
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-7860
Mailing Address - Country:US
Mailing Address - Phone:360-337-5800
Mailing Address - Fax:360-692-1392
Practice Address - Street 1:9927 MICKELBERRY RD NW
Practice Address - Street 2:SUITE 131
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7860
Practice Address - Country:US
Practice Address - Phone:360-337-5800
Practice Address - Fax:360-692-1392
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2014-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00047031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine