Individual
DR. MATTHEW M KERSHISNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-5375
(843) 284-3401
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1831351205
UT
Other
Enumeration date
02/06/2006
Last updated
04/20/2008
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