Individual
MICHELLE GRZELCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
74 BRICK BLVD, BRICK, NJ 08723-7984
(732) 402-8566
Mailing address
535 SYCAMORE AVE, SHREWSBURY, NJ 07702-4224
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00865500
NJ
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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