Individual
MS. SUSAN E. CEROVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1020 N 27TH ST, BILLINGS, MT 59101-0760
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-36129
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977217
—
AZ
01
—
P00457896
RAILROAD MEDICARE
AZ
Enumeration date
12/22/2005
Last updated
12/08/2017
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