Provider Demographics
NPI:1750518437
Name:HIGGINS, MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3015 SQUALICUM PKWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1945
Mailing Address - Country:US
Mailing Address - Phone:360-676-2288
Mailing Address - Fax:360-861-6017
Practice Address - Street 1:3015 SQUALICUM PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1945
Practice Address - Country:US
Practice Address - Phone:360-676-2288
Practice Address - Fax:360-861-6017
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-19
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA60221728208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery