Individual
DR. ANDREY P SELUZHITSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8984 E US HIGHWAY 20, NEW CARLISLE, IN 46552-9038
(574) 654-8490
(574) 654-3643
Mailing address
8984 E US HIGHWAY 20, NEW CARLISLE, IN 46552-9038
(574) 654-8490
(574) 654-3643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059665A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200528000
—
IN
Enumeration date
10/26/2005
Last updated
07/29/2016
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