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1871115378
GRANT MICHALAK
FORT WORTH, TX
NPI
1871115378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-05-07
Last Update Date
2020-05-07
Business Address
GRANT MICHALAK PA-C
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 214-578-9161
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Mailing Address
GRANT MICHALAK PA-C
3391 COUNTY ROAD 324
MCKINNEY, TX 75069-1151
Phone number: 214-578-9161
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