Individual provider · Type 1 NPI

Michael Spack, PA

Physician Assistant · Salisbury, MD

NPI number 1073573572 Active

Practice location

1342 South Division Street, Unit 401, Peninsula Urology Associates Pa
Salisbury, MD 21084

Fax (410) 548-3361

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0001119 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073573572

Michael Spack, PA's National Provider Identifier is 1073573572, issued on Mar 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salisbury, MD. The record was last updated on Jul 13, 2026.