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Dr. Michael Ashton Theobald, MD
Specialist in Edmonds, Washington
NPI 1821047556

Michael Ashton Theobald is a Specialist based in Seattle, WA. Michael Ashton Theobald practices in Edmonds, WA and has the professional credentials of MD. The NPI Number for Michael Ashton Theobald is 1821047556 and holds a License No. MD00011020 (Washington).

The current practice location address for Michael Ashton Theobald is 21601 76Th Ave W, Edmonds, WA and can be reached out via phone at 425-640-4000. You can also correspond with Michael Ashton Theobald through the mailing address at 12042 6TH AVE NW, SEATTLE, WA - 98177-4521 (mailing address contact number: 206-361-8408).

Location: 21601 76Th Ave W, Edmonds, WA, 98177-4521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821047556
Provider Name
Michael Ashton Theobald
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
21601 76Th Ave W, Edmonds, WA, 98177-4521
Phone Number
425-640-4000
Fax Number
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
21601 76Th Ave W
City
Edmonds
State
Washington
Zip
98026-7507
Phone Number
425-640-4000
Fax Number
person
Provider Business Mailing Address Details
Address
21601 76Th Ave W
City
Edmonds
State
Washington
Zip
98026-7507
Phone Number
425-640-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00011020 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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