Individual
TED J CERISE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPA-C
Contact information
Practice address
2900 12TH AVE N STE 100E, BILLINGS, MT 59101-7504
(406) 238-6700
(406) 238-6734
Mailing address
2900 12TH AVE N STE 100E, BILLINGS, MT 59101-7504
(406) 238-6700
(406) 238-6734
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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