Dr. Michael Joseph Maidan, DO
Family Medicine in Burlington, WA. Individual provider (NPI-1).
NPI number1245851112
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1245851112
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Joseph Maidan
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 2, 2020
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO.OP.61462122 | WA | Yes |
Practice location
835 E Fairhaven AveBurlington, WA 98233-1916
Phone 360-856-7960
Mailing address
835 E Fairhaven AveBurlington, WA 98233-1916
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