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Individual
ALEKSANDR SUROVETS
Active
Individual
ALEKSANDR SUROVETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
004747
GA
367H00000X
Anesthesiologist Assistant
Primary
004747
GA
Other
Enumeration date
05/15/2006
Last updated
09/01/2010
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