MEDICARE: MR. MICHAEL STIRANKA PA

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
1	363A00000X	Physician Assistant	0010-12832	NC

General Provider Information

NPI Number	:	1821245333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL STIRANKA PA

Provider Business Mailing Address
First Line	:	PO BOX 34876
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-1876
Country	:	US
Telephone Number	:	425-656-5412
Fax Number	:	425-656-4096

Provider Business Practice Location Address
First Line	:	1800 N SANDHILLS BLVD
Second Line	:
City	:	ABERDEEN
State	:	NC
Zip	:	28315-2336
Country	:	US
Telephone Number	:	910-724-2334
Fax Number	:	910-246-0952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	03/02/2026

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