Organization
ORISEK AND MCCASKILL MEDICAL GROUP, INC.
Active
Organization
ORISEK AND MCCASKILL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL MAXSOM (BUSINESS MANAGER)
(916) 871-5624
Entity
Organization
Contact information
Practice address
4080 CAVITT STALLMAN RD STE 100A, GRANITE BAY, CA 95746-9049
(916) 771-0715
Mailing address
4080 CAVITT STALLMAN RD STE 100A, GRANITE BAY, CA 95746-9049
(916) 771-0715
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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