Individual
JULIA ANN SAMALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
829 N CENTER AVE, SUITE 210, GAYLORD, MI 49735-1595
(989) 731-7860
(989) 731-7954
Mailing address
829 N CENTER AVE, SUITE 210, GAYLORD, MI 49735-1595
(989) 731-7860
(989) 731-7954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003091
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA0074
MEDICARE RR PROV ID
—
Enumeration date
07/05/2006
Last updated
01/18/2008
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