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Individual
ANDREW P SCIALLIS
Active
Individual
ANDREW P SCIALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301103725
MI
207ZP0101X
Anatomic Pathology Physician
4301103725
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.143834
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301103725
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
51263
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/27/2007
Last updated
04/21/2022
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