Individual
SERGE MAKARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCSC
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-2453
Mailing address
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-0001
(801) 581-6908
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
11370187-1205
UT
Other
Enumeration date
07/06/2019
Last updated
09/11/2019
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