| Sma-deer Lakes, P.c | |
|
221 Russellton Dorseyville Rd Cheswick PA 15024-2004 | |
| (412) 767-5387 | |
| (412) 767-5212 |
| Full Name | Sma-deer Lakes, P.c |
|---|---|
| Speciality | Family Medicine |
| Location | 221 Russellton Dorseyville Rd, Cheswick, Pennsylvania |
| Authorized Official Name and Position | Michael E Chismer (PRESIDENT) |
| Authorized Official Contact | 4127675387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sma-deer Lakes, P.c 221 Russellton Dorseyville Rd Cheswick PA 15024-2004 Ph: (412) 767-5387 | Sma-deer Lakes, P.c 221 Russellton Dorseyville Rd Cheswick PA 15024-2004 Ph: (412) 767-5387 |
| NPI Number | 1114950938 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114950938 | NPI | - | NPPES |
| 01680321 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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