Individual
DANIEL A KALISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 FAKE ST, IMAGINATION LAND, AK 77777
(777) 777-7777
Mailing address
123 FAKE ST, IMAGINATION LAND, AK 77777
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80450
TX
Other
Enumeration date
08/15/2012
Last updated
07/11/2014
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