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Organization
SMA-DEER LAKES, P.C
Active
Organization
SMA-DEER LAKES, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E CHISMER MD (PRESIDENT)
(412) 767-5387
Entity
Organization
Contact information
Practice address
221 RUSSELLTON DORSEYVILLE RD, CHESWICK, PA 15024-2004
(412) 767-5387
(412) 767-5212
Mailing address
221 RUSSELLTON DORSEYVILLE RD, CHESWICK, PA 15024-2004
(412) 767-5387
(412) 767-5212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01680321
—
PA
Enumeration date
07/07/2006
Last updated
07/30/2013
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