Individual
MICHAEL J ROYLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1717 WEST COWLES STREET, FAIRBANKS, AK 99701
(907) 378-1997
(907) 458-3811
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 378-1997
(907) 458-3811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
835
AK
363A00000X
Physician Assistant
PAD T 2002
AK
363A00000X
Physician Assistant
Primary
PADA835
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020434
—
AK
01
—
AK 835
MEDICAL LICENSE
AK
05
—
MDA0289
—
AK
Enumeration date
12/23/2008
Last updated
05/27/2026
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