Individual
JOHN CHARLES MICHALAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 NEBRASKA ST, SIOUX CITY, IA 51101-1733
(712) 252-0088
(712) 252-5271
Mailing address
230 NEBRASKA ST, SIOUX CITY, IA 51101-1733
(712) 252-0088
(712) 252-5271
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
21969
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171322
—
IA
Enumeration date
02/02/2006
Last updated
07/08/2007
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