| Doctor Name: | DR. MICHAEL DALE DUJELA |
| NPI Number: | 1083719876 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | PO00000717 |
| Business Practice Address: | 1900 Cooks Hill Road Centralia, WA - 985319071 |
| Business Phone Number: | 3607362889 |
| Business Fax Number: | |
| Mailing Address: | 1669 View Point Ct Sw, TUMWATER |
| State: | WA |
| Postal Code: | 985126357 |
| Phone Number: | 3604890927 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 10/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO00000717 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |