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Individual

MR. MICHAEL FILLINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110004260
VA
363AM0700X
Medical Physician Assistant
013758
NY
363AM0700X
Medical Physician Assistant
13758
NY

Other

Enumeration date
12/23/2009
Last updated
07/03/2023
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