Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael J Mandzuik, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164540738

Michael J Mandzuik, MD is a Student in an Organized Health Care Education/Training Program in Everett, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2930 Maple St
Everett, WA 98201-3832
Phone: (425) 261-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3927 Rucker Ave, Everett, WA 98201-4833 — (425) 258-3900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00048669 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WA)

Record details

NPI number1164540738
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021
Mailing address2930 Maple St, Everett, WA 98201-3832

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