Individual
MICHAEL NESTORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7654
Mailing address
125 S KALAMAZOO MALL STE 204, KALAMAZOO, MI 49007-4869
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5601009565
MI
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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