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Individual

MICHAEL THOMAS SOUHRADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
169 MARTIN AVE, EPHRATA, PA 17522
(717) 738-6618
(717) 738-6646
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN599881
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN599881
PA

Other

Enumeration date
04/04/2016
Last updated
02/26/2025
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