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Individual
MIKHAIL MEYEROVICH
Active
Individual
MIKHAIL MEYEROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A75992
CA
2084P0800X
Psychiatry Physician
Primary
A75992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A75992
PTAN
CA
Enumeration date
08/26/2005
Last updated
10/02/2007
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