Individual
DAMIAN KALISIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 ASYLUM AVE STE 4309B, HARTFORD, CT 06105
(860) 714-4000
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1.060415
CT
207R00000X
Internal Medicine Physician
4301107096
MI
Other
Enumeration date
06/12/2015
Last updated
06/26/2018
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