Individual
MICHELLE DAWICZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34 PROFFESSIONAL PARK RD, STORRS, CT 06268-1659
(860) 487-0002
(860) 429-1663
Mailing address
34 PROFFESSIONAL PARK RD, STORRS, CT 06268-1659
(860) 487-0002
(860) 429-1663
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2808
CT
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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