Individual
DR. SAMANTHA FAY GHISELLI
Active
Individual
DR. SAMANTHA FAY GHISELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
51663
CO
207ND0101X
MOHS-Micrographic Surgery Physician
A85337
CA
207ND0900X
Dermatopathology Physician
A85337
CA
207NS0135X
Procedural Dermatology Physician
A85337
CA
Other
Enumeration date
08/12/2006
Last updated
01/11/2019
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