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Individual
MICHAEL DAVID SKROUPA
Active
Individual
MICHAEL DAVID SKROUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021520
NY
363AM0700X
Medical Physician Assistant
021520-1
NY
Other
Enumeration date
11/28/2017
Last updated
05/13/2021
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