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Individual

ANDREY PRILUTSKIY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-2646
(608) 263-8443
Mailing address
5409 S RIDGE WAY, MIDDLETON, WI 53562-1204

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
281760
MA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
75423-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
MA

Other

Enumeration date
03/28/2016
Last updated
01/09/2025
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