KENNETH V. MISELIS, M.D. INC.
Medical Practice at Poplar St, Stockton, CA

License number
California G502810
Category
Medical Practice
Type
Specialist
Owner
Name: DR. KENNETH VICTOR MISELIS M.D.
Title: PRESIDENT
Phone: (209) 465-5933
Address
Address
445 W Poplar St, Stockton, CA 95203
National Provider ID: 1962413740
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENNETH V. MISELIS, M.D., INC

445 W Poplar St, Stockton, CA 95203

Industry:
Medical Doctor's Office
Registration:
Aug 27, 1984
State ID:
C1255166
Business type:
Articles of Incorporation
President:
Kenneth V. Miselis (President)
Agent:
Kenneth V Miselis,Stockton, CA 95203 (Physical)

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