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Individual

LOUIS KALISCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SA-C

Contact information

Practice address
10332 MAIN ST # 344, FAIRFAX, VA 22030-2410
(571) 309-9768
Mailing address
PO BOX 15607, ARLINGTON, VA 22215-0607
(571) 309-9768
(888) 356-1032

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
16-375
MD
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
05/25/2016
Last updated
08/15/2016
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