Organization
MICK S. MEISELMAN, M.D., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICK S MEISELMAN M.D. (PHYSICIAN/ PRESIDENT)
(805) 540-2098
Entity
Organization
Contact information
Practice address
1551 BISHOP ST, SUITE 230, SAN LUIS OBISPO, CA 93401-4635
(805) 540-2098
(805) 556-3090
Mailing address
1551 BISHOP ST, SUITE 230, SAN LUIS OBISPO, CA 93401-4635
(805) 540-2098
(805) 556-3090
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G42562
CA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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