Individual
MR. MICHAEL A. STACHACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
135 MAIN ST, BLAKELY, PA 18447
(570) 383-5446
(570) 383-5446
Mailing address
135 MAIN STREET, BLAKELY, PA 18447
(570) 489-6988
(570) 383-5446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004264L
PA
Other
Enumeration date
10/25/2006
Last updated
09/13/2018
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