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1073573572
MICHAEL SPACK
SALISBURY, MD
NPI
1073573572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0001119)
Enumeration Date
2006-03-27
Last Update Date
2007-07-08
Business Address
-- MICHAEL SPACK PA
1342 SOUTH DIVISION STREET UNIT 401, PENINSULA UROLOGY ASSOCIATES PA
SALISBURY, MD 21084
Phone number: 410-546-2133
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Mailing Address
-- MICHAEL SPACK PA
1342 SOUTH DIVISION STREET UNIT 401, PENINSULA UROLOGY ASSOCIATES PA
SALISBURY, MD 21084
Phone number: 410-546-2133
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