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MIKHAIL GLASIONOV M.D.

>> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1326037896

Individual Registrant:
 MIKHAIL  GLASIONOV M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2801 DEBARR RD  ANCHORAGE, AK 99508-2932 US
Tel: 907-258-2149  Fax: 907-258-2147

Contact information for business:
PO BOX 202149  ANCHORAGE, AK 99520-2149 US
Tel: 907-258-2149  Fax: 907-258-2147

Registration Information:
NPI: 1326037896
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
AK3953

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MD0365AK05
WA MEDICAID8428443WA01




HEALTH CARE JOBS AK - Page 1



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