Healthcare Provider Details

I. General information

NPI: 1548247067
Provider Name (Legal Business Name): FILIZ MILLIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 07/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10049 KITSAP MALL BLVD NW STE# 265
SILVERDALE WA
98383-8903
US

IV. Provider business mailing address

10049 KITSAP MALL BLVD NW STE# 265
SILVERDALE WA
98383-8903
US

V. Phone/Fax

Practice location:
  • Phone: 360-698-2500
  • Fax: 360-698-7788
Mailing address:
  • Phone: 360-698-2500
  • Fax: 360-698-7788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberMD00041501
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: