Individual
SERGEI KALSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF SURGERY, SHREVEPORT, LA 71103-4228
(318) 675-6111
(318) 675-6141
Mailing address
137 SW 54TH TERRACE, CAPE CORAL, FL 33914
(352) 246-1775
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
284010
NY
Other
Enumeration date
04/15/2009
Last updated
07/24/2017
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