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Individual

DR. MICHAEL E SRULEVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1553 CHESTER PIKE, SUITE 201, CRUM LYNNE, PA 19022-1022
(610) 499-7180
(610) 499-7190
Mailing address
150 JUNIPER RD, HAVERTOWN, PA 19083-5410
(610) 853-5685

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS012617
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019420800003
PA
Enumeration date
02/01/2007
Last updated
10/01/2008
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