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Individual
STANISLAV ZINKOVSKY
Active
Individual
STANISLAV ZINKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR, PA-C
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
520106097
MI
363A00000X
Physician Assistant
Primary
5601005165
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670H202270
BCBS
MI
Enumeration date
03/09/2007
Last updated
10/15/2015
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