Individual
DR. MICHEAL ALLAN KIESERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 NEW SALEM RD, VOORHEESVILLE, NY 12186-4833
(518) 765-2151
(518) 765-3375
Mailing address
680 NEW SALEM RD, VOORHEESVILLE, NY 12186-4833
(518) 765-2151
(518) 765-3375
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
120479
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00582389
—
NY
Enumeration date
12/28/2006
Last updated
07/08/2007
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