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Individual

DR. ALEKSANDR VLADIMIROVICH MIKHAYLOVSKIY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
575 COAL VALLEY RD, 277, JEFFERSON HILLS, PA 15025-3730
(412) 469-7722
(412) 469-7721
Mailing address
575 COAL VALLEY RD, 277, JEFFERSON HILLS, PA 15025-3730
(412) 469-7722
(412) 469-7721

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
4301080410
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD430910
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019157610001
PA
01
1398027
BS
01
1941855
BSPA
PA
Enumeration date
01/04/2007
Last updated
11/13/2007
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