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Individual

SUSAN M PELIKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545
Mailing address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
2126
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017033
KAISER-COMMERCIAL NUMBER
05
24752762
CO
Enumeration date
03/07/2007
Last updated
06/19/2014
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