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Individual
MR. MICHAEL ALLEN MOZIAK
Active
Individual
MR. MICHAEL ALLEN MOZIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08781
NC
363A00000X
Physician Assistant
020147-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NN6725B
MEDICARE PTAN
NC
Enumeration date
07/20/2016
Last updated
04/02/2021
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