| Office of Michael Staszel, D.o P.A. | |
|
822 Pine St Mount Shasta CA 96067-2137 | |
| (530) 926-5261 | |
| (530) 926-1077 |
| Full Name | Office of Michael Staszel, D.o P.A. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 822 Pine St, Mount Shasta, California |
| Authorized Official Name and Position | Michael Z Staszel (OWNER) |
| Authorized Official Contact | 5309265261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Office of Michael Staszel, D.o P.A. 822 Pine St Mount Shasta CA 96067-2137 Ph: (530) 926-5261 | Office of Michael Staszel, D.o P.A. 822 Pine St Mount Shasta CA 96067-2137 Ph: (530) 926-5261 |
| NPI Number | 1396209086 |
|---|---|
| Provider Enumeration Date | 01/26/2019 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396209086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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