Individual
DR. ERIC MICHAEL SERGIENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 VANDENBERG ST, US NORTHERN COMMAND SURGEON'S OFFICE, COLORADO SPRINGS, CO 80914-3898
(703) 554-0042
(703) 554-7227
Mailing address
250 VANDENBERG ST, US NORTHERN COMMAND SURGEON'S OFFICE, COLORADO SPRINGS, CO 80914-3898
(703) 554-0042
(703) 554-7227
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A55033
CA
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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