MEDICARE: DR. MICHAEL J. CROSBY DACM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	61474959	WA

General Provider Information

NPI Number	:	1134992977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J. CROSBY DACM

Provider Business Mailing Address
First Line	:	794 6TH ST S FL 1
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98033-6715
Country	:	US
Telephone Number	:	425-753-2540
Fax Number	:

Provider Business Practice Location Address
First Line	:	794 6TH ST S FL 1
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98033-6715
Country	:	US
Telephone Number	:	425-753-2540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2023
Last Update Date	:	11/02/2023

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