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Individual

DR. MARK C. KISELOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
76191 SHAWNEE CIR, INDIAN WELLS, CA 92210-8743
(760) 340-1273
(760) 340-1273
Mailing address
76191 SHAWNEE CIR, INDIAN WELLS, CA 92210-8743
(760) 340-1273
(760) 340-1273

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C41506
CA

Other

Enumeration date
01/04/2007
Last updated
07/08/2007
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