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1205865714
MICHAEL BACKOVSKI
FISHERSVILLE, VA
NPI
1205865714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001661)
Enumeration Date
2006-06-30
Last Update Date
2019-11-13
Business Address
Mr. MICHAEL BACKOVSKI PA-C
57 N MEDICAL PARK DR STE 105
FISHERSVILLE, VA 22939
Phone number: 540-245-7262
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Mailing Address
Mr. MICHAEL BACKOVSKI PA-C
PO BOX 388
FISHERSVILLE, VA 22939-0388
Phone number: 540-932-5162
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