Dale Phillip Greyslak, PAC

NPI #1669648754 in Indialantic, Florida

Provider Information

NPI Number: 1669648754
Entity Type: Individual
Name: Dale Phillip Greyslak, PAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: May 8, 2008
Last Updated: Feb 14, 2023

Practice Location

Address: 3491 TITANIC CIR
City: Indialantic
State: Florida
ZIP Code: 32903-1871
Phone: (407) 451-0192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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