Healthcare Provider Details

I. General information

NPI: 1154445229
Provider Name (Legal Business Name): MICHAEL DAVID ALPERIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 11/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 DEYE LN
EASTSOUND WA
98245-8578
US

IV. Provider business mailing address

PO BOX 50095
SEATTLE WA
98145-5095
US

V. Phone/Fax

Practice location:
  • Phone: 360-376-2561
  • Fax: 360-376-5183
Mailing address:
  • Phone: 206-520-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD60736493
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: