MICHAEL STEPHEN CHISUM

ISSAQUAH, WA
NPI1265963771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: WA  MD61170311)
Enumeration Date2017-03-26
Last Update Date2022-12-01
Business Address
MICHAEL STEPHEN CHISUM MD
751 NE BLAKELY DR STE 4020
ISSAQUAH, WA 98029-6201
Phone number: 425-313-7124
Mailing Address
MICHAEL STEPHEN CHISUM MD
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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