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Individual
MICHAEL J SKROCH
Active
Individual
MICHAEL J SKROCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003431
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143598
LABOR AND INDUSTRIES
WA
01
—
0143756
LIWA
WA
01
—
0562SK
BSWA
WA
05
—
8318693
—
WA
Enumeration date
12/08/2006
Last updated
06/03/2008
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