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Individual

JEFFREY PATRICK MICHALAK

Active
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Individual

JEFFREY PATRICK MICHALAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8388
SD
207RG0100X
Gastroenterology Physician
933
NE
207RG0100X
Gastroenterology Physician
DO-04307
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962622431
IA
05
1962622431
NH
05
1962622431
SD
Enumeration date
04/26/2007
Last updated
12/10/2025
Update your record

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