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1851363600
MATTHEW M KERSHISNIK
LOGAN, UT
NPI
1851363600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: UT 1831351205)
Enumeration Date
2006-02-06
Last Update Date
2008-04-20
Business Address
DR. MATTHEW M KERSHISNIK MD
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-5375
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Mailing Address
DR. MATTHEW M KERSHISNIK MD
PO BOX 30309
CHARLESTON, SC 29417-0309
Phone number: 843-554-9300
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