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1497189245
DANIEL JOSEPH MIZWICKI
SAN FRANCISCO, CA
NPI
1497189245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 58421)
Enumeration Date
2013-08-29
Last Update Date
2020-10-30
Business Address
Mr. DANIEL JOSEPH MIZWICKI PA-C
1085 VALENCIA ST
SAN FRANCISCO, CA 94110-2405
Phone number: 415-432-7889
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Mailing Address
Mr. DANIEL JOSEPH MIZWICKI PA-C
3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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