Michael R. Staversky, PA-C

NPI #1093317646 in Ladson, South Carolina

Provider Information

NPI Number: 1093317646
Entity Type: Individual
Name: Michael R. Staversky, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 9, 2020
Last Updated: Apr 26, 2024

Practice Location

Address: 3495 IRON HORSE RD
City: Ladson
State: South Carolina
ZIP Code: 29456-4319
Phone: (843) 793-5970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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