Individual
MR. MICHAEL KENNETH GORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
296 SUSQUEHANNOCK DR, WILKES BARRE, PA 18702-2744
(570) 654-5279
Mailing address
296 SUSQUEHANNOCK DR, WILKES BARRE, PA 18702-2744
(570) 654-5279
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA062361
PA
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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