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1730821000
MICHAEL STEVEN PHEASANT
WILKES BARRE, PA
NPI
1730821000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-08
Last Update Date
2022-04-08
Business Address
MICHAEL STEVEN PHEASANT MD
1175 E MOUNTAIN BLVD
WILKES BARRE, PA 18702-7906
Phone number: 570-808-8359
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Mailing Address
MICHAEL STEVEN PHEASANT MD
1175 E MOUNTAIN BLVD
WILKES BARRE, PA 18702-7906
Phone number: 570-808-8359
Copy
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