Individual
DAMIEN MICHAELS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 INDUSTRY RD, BUENA VISTA, PA 15018-9720
(412) 216-5973
Mailing address
615 INDUSTRY RD, BUENA VISTA, PA 15018-9720
(412) 216-5973
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN584383
PA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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