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1053747931
PIOTR STAROSTA
CLACKAMAS, OR
NPI
1053747931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA178425)
Enumeration Date
2013-09-23
Last Update Date
2021-12-28
Business Address
PIOTR STAROSTA PA-C
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-813-2000
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Mailing Address
PIOTR STAROSTA PA-C
202 S PARK ST
MADISON, WI 53715-1507
Phone number:
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