Individual
DANIEL E KISLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 LEAHY STREET, SUITE 328, MUSKEGON, MI 49442-5543
(231) 727-5565
(231) 727-5568
Mailing address
1675 LEAHY STREET, SUITE 328, MUSKEGON, MI 49442-5543
(231) 727-5565
(231) 727-5568
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301042985
MI
Other
Enumeration date
11/28/2006
Last updated
02/19/2008
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