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Individual

ANITA JOY SZATKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
13700 ST FRANCIS BLVD, EMERGENCY MEDICINE DEPARTMENT, MIDLOTHIAN, VA 23114-3222
(804) 594-7950
(804) 594-7955
Mailing address
38935 ANN ARBOR RD, CREDENTIALING/PAYER CONTRACTING, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840425
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
CAQH
Enumeration date
09/26/2011
Last updated
09/26/2011
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