Individual provider · Type 1 NPI

Michael Pugacz

Student in an Organized Health Care Education/Training Program · Ada, OH

NPI number 1336334838 Active

Practice location

525 S Main St
Ada, OH 45810-6000

Mailing address

5080 W 228th St
Fairview Park, OH 44126-2431

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X06-0-05300 (OH)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336334838

Michael Pugacz's National Provider Identifier is 1336334838, issued on Sep 8, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ada, OH. The record was last updated on Sep 8, 2007.