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1952340705
MICHAEL ANTHONY TISKA
MARYSVILLE, CA
NPI
1952340705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16554)
Enumeration Date
2006-06-06
Last Update Date
2007-07-08
Business Address
-- MICHAEL ANTHONY TISKA P.A-C
726 4TH STREET
MARYSVILLE, CA 94901
Phone number: 530-749-4300
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Mailing Address
-- MICHAEL ANTHONY TISKA P.A-C
2100 POWELL STREET STE 920
EMERYVILLE, CA 94608-1803
Phone number: 510-350-2777
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