Individual
MYLINDA CIZMOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 RIVERSTONE WAY UNIT 1, FAIRBANKS, AK 99709-2939
(907) 450-3300
Mailing address
575 RIVERSTONE WAY UNIT 1, FAIRBANKS, AK 99709-2939
(907) 450-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
149997
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2018
Last updated
06/08/2020
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