DR. MICHAEL THEOBALD, M.D.
Specialist
Active
Individual
NPI: 1821047556
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | MD00011020 (WA) |
Frequently Asked Questions
NPI 1821047556 is the National Provider Identifier for DR. MICHAEL THEOBALD, M.D., a Specialist provider located in Edmonds, WA. This NPI was enumerated on May 9, 2006.
DR. MICHAEL THEOBALD, M.D. practices at 21601 76TH AVE W, Edmonds, WA 98026.
Quick Facts
- NPI
- 1821047556
- Type
- Individual
- Enumerated
- May 9, 2006
- Last Updated
- Jul 8, 2007
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