MEDICARE: DR. MICHAEL SCOTT SEWARD M.D.

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	207W00000X	Ophthalmology Physician	4301079868	MI
2	207W00000X	Ophthalmology Physician	MD61421172	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134124522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SCOTT SEWARD M.D.

Provider Business Mailing Address
First Line	:	2915 S ALDER ST
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-4803
Country	:	US
Telephone Number	:	125-347-3027
Fax Number	:

Provider Business Practice Location Address
First Line	:	2915 S ALDER ST
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-4803
Country	:	US
Telephone Number	:	125-347-3027
Fax Number	:

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	05/07/2024

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