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Individual
DR. MICHAEL KISELOW
Active
Individual
DR. MICHAEL KISELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
12450
CA
152WC0802X
Corneal and Contact Management Optometrist
1346
AZ
152WC0802X
Corneal and Contact Management Optometrist
OPC 4148
FL
152WC0802X
Corneal and Contact Management Optometrist
Primary
TUV006648-1
NY
Other
Enumeration date
01/13/2006
Last updated
06/28/2011
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