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NPI Code Detail

MEDICARE: MICHELE JOAN TOMCZAK DO

MEDICARE: MICHELE JOAN TOMCZAK DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS008255LPA

General Provider Information

NPI Number : 1598760225
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE JOAN TOMCZAK DO
Provider Business Mailing Address
First Line : 4500 PINE AVE
Second Line :
City : ERIE
State : PA
Zip : 16504-2316
Country : US
Telephone Number : 814-877-5800
Fax Number : 814-877-5809
Provider Business Practice Location Address
First Line : 4500 PINE AVE
Second Line :
City : ERIE
State : PA
Zip : 16504-2316
Country : US
Telephone Number : 814-877-5800
Fax Number : 814-877-5809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 04/23/2020

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Directions to “ MICHELE JOAN TOMCZAK DO” Practice Location

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