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Individual

PAWEL SROKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
5344 PINE AIRES DR, STERLING HEIGHTS, MI 48314-1347

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704322814
MI
364SF0001X
Family Health Clinical Nurse Specialist
4704322814
MI

Other

Enumeration date
07/28/2021
Last updated
09/02/2021
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