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MR. MICHAEL BACKOVSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
57 N MEDICAL PARK DR STE 105, FISHERSVILLE, VA 22939
(540) 245-7262
(540) 245-7054
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5162
(540) 932-5875

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001661
VA

Other

Enumeration date
06/30/2006
Last updated
11/13/2019
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