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Organization
SMA DEERLAKES, PC
Active
Organization
SMA DEERLAKES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E CHISMER MD (PRESIDENT)
(412) 767-5387
Entity
Organization
Contact information
Practice address
1360 OLD FREEPORT RD, SUITE 1B, PITTSBURGH, PA 15238-4102
(412) 767-5212
(412) 782-6103
Mailing address
1360 OLD FREEPORT RD, SUITE 1B, PITTSBURGH, PA 15238-4102
(412) 767-5212
(412) 782-6103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD053615L
PA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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