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1568436160

NPI Code Detail

MEDICARE: DR. DEBRA J MILEK MD

MEDICARE: DR. DEBRA J MILEK MD

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	207R00000X	Internal Medicine Physician	MD60286664	WA
2	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	MD60286664	WA
3	2083P0901X	Public Health & General Preventive Medicine Physician	MD60286664	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

General Provider Information

NPI Number	:	1568436160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA J MILEK MD

Provider Business Mailing Address
First Line	:	PO BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145-5095
Country	:	US
Telephone Number	:	206-543-6420
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 9TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2499
Country	:	US
Telephone Number	:	206-744-9382
Fax Number	:	206-616-5365

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	07/19/2012

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Directions to “ DR. DEBRA J MILEK MD” Practice Location

Language	Start Address	Practice Location

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