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Individual

MICHAEL H MICHALSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5358 JACKSON DR, SUITE 1, LA MESA, CA 91942-3040
(619) 667-7072
(619) 667-7064
Mailing address
PO BOX 2248, LA MESA, CA 91943
(619) 667-7072
(619) 667-7064

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G86189
CA
207RI0011X
Interventional Cardiology Physician
G86189
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G861890
CA
Enumeration date
05/03/2006
Last updated
12/30/2014
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