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Kenneth V. Miselis, M.d. Inc.
Specialist in Stockton, California
NPI 1962413740

Kenneth V. Miselis, M.d. Inc. is a Specialist based in Stockton, CA. Kenneth V. Miselis, M.d. Inc. practices in Stockton, CA. The NPI Number for Kenneth V. Miselis, M.d. Inc. is 1962413740 and holds a License No. G502810 (California).

The current practice location address for Kenneth V. Miselis, M.d. Inc. is 445 W Poplar St, Stockton, CA and can be reached out via phone at 209-465-5933 and via fax at 209-465-2562. You can also correspond with Kenneth V. Miselis, M.d. Inc. through the mailing address at 445 W POPLAR ST, STOCKTON, CA - 95203-2426 (mailing address contact number: 209-465-5933).

Location: 445 W Poplar St, Stockton, CA, 95203-2426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962413740
Provider Name
Kenneth V. Miselis, M.d. Inc.
Credential
Provider Entity Type
Organization
Address
445 W Poplar St, Stockton, CA, 95203-2426
Phone Number
209-465-5933
Fax Number
209-465-2562
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
180033368 01 CA RAILROAD MEDICARE
GR0050600 05 CA
institution
Provider Business Practice Location Address Details
Address
445 W Poplar St
City
Stockton
State
California
Zip
95203-2426
Phone Number
209-465-5933
Fax Number
209-465-2562
person
Provider Business Mailing Address Details
Address
445 W Poplar St
City
Stockton
State
California
Zip
95203-2426
Phone Number
209-465-5933
Fax Number
209-465-2562
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G502810 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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