Individual provider · Type 1 NPI

Michael Stephen Chisum, MD

Surgery Physician · Issaquah, WA

NPI number 1265963771 Active

Practice location

751 NE Blakely Dr Ste 4020
Issaquah, WA 98029-6201

Fax (425) 313-7072

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XMD61170311 (WA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1265963771

Michael Stephen Chisum, MD's National Provider Identifier is 1265963771, issued on Mar 26, 2017. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Issaquah, WA. The record was last updated on Dec 1, 2022.