MEDICARE: MICHELLE SEELIG

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	207Q00000X	Family Medicine Physician	A79449	CA
2	207QA0505X	Adult Medicine Physician	MD00046907	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	:	1801810908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SEELIG

Provider Business Mailing Address
First Line	:	2200 6TH AVE STE 102
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1817
Country	:	US
Telephone Number	:	206-456-2500
Fax Number	:	206-589-6900

Provider Business Practice Location Address
First Line	:	2200 6TH AVE STE 102
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1817
Country	:	US
Telephone Number	:	206-456-2500
Fax Number	:	206-589-6900

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	12/20/2022

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Directions to “ MICHELLE SEELIG ” Practice Location

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