Individual
MR. MICHAEL DAMIEN SKIRKANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-B
Contact information
Practice address
411 E 9TH ST, FORT STEWART, GA 31314-5036
(860) 681-3672
Mailing address
411 E 9TH ST, FORT STEWART, GA 31314-5036
(860) 681-3672
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E1805365
GA
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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