Individual
MR. JOEL T MICHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1701 W 72ND AVE, DENVER, CO 80221-2721
(303) 650-4460
(303) 546-4000
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-3036
(303) 665-3397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004524
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009964900
—
FL
Enumeration date
10/30/2013
Last updated
06/04/2020
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