Individual
MR. MICHAEL PIEKARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8063 CIRCLING HAWK DR, RUSSIAVILLE, IN 46979-9158
(765) 271-2611
Mailing address
8063 CIRCLING HAWK DR, RUSSIAVILLE, IN 46979-9158
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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