# MICHAEL J SKROCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235299678
- **Gender:** Man
- **Credential:** PA C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10003431 | WA | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 06/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0143598 | LABOR AND INDUSTRIES | WA |
| 01 | — | 0143756 | LIWA | WA |
| 01 | — | 0562SK | BSWA | WA |
| 05 | — | 8318693 | — | WA |