Individual
DR. OLEKSANDR SELEVERSTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56 N COLLEGE AVE UNIT 2A, COLLEGE PLACE, WA 99324-1048
(509) 730-0728
Mailing address
146 THUNDER RIDGE DR, WALLA WALLA, WA 99362-7762
(518) 801-6446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61002582
WA
Other
Enumeration date
05/01/2012
Last updated
01/24/2025
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