Individual
MR. MIKHAIL ALTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 HERITAGE DR, SEYMOUR, CT 06483-3841
(203) 610-1148
Mailing address
17 HERITAGE DR, SEYMOUR, CT 06483-3841
(203) 610-1148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13795
CT
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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