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MR. MICHAEL CHRISTOPHER SECALLUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
20 EAST MAIN STREET, MARATHON, NY 13803
(607) 849-3271
Mailing address
85 S WEST ST, HOMER, NY 13077-1542
(607) 753-3797

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F339980-1
NY
363L00000X
Nurse Practitioner
Primary
339980
NY

Other

Enumeration date
10/16/2020
Last updated
06/27/2023
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