Individual
MR. MICHAEL STASZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
488 E 11TH AVE, STE 150A, EUGENE, OR 97401-3601
(541) 505-8180
(541) 505-7134
Mailing address
PO BOX 5571, EUGENE, OR 97405-0571
(541) 505-8180
(541) 505-7134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2900
OR
Other
Enumeration date
05/18/2006
Last updated
08/18/2015
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