Provider Demographics
NPI:1821245333
Name:STIRANKA, MICHAEL (PA)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:STIRANKA
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 34876
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1876
Mailing Address - Country:US
Mailing Address - Phone:425-656-5412
Mailing Address - Fax:425-656-4096
Practice Address - Street 1:10555 SE CARR RD
Practice Address - Street 2:BLDG M
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5820
Practice Address - Country:US
Practice Address - Phone:425-656-4070
Practice Address - Fax:425-656-4271
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant