Ivan Kamikovski M.D.

NPI 1073953030 - Surgery - 208600000X

NPI Details
NPI 1073953030
Gender Male
Enumeration Date 07/04/2013
Last Updated 07/04/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
16001 W 9 MILE RD
SOUTHFIELD MI, 48075-4818, US
Phone (248) 849-3073
Fax
Business Location
22655 FAIRMONT DR
201
FARMINGTON HILLS MI, 48335-4067, US
Phone (917) 575-7418
Fax
Toxanomy
Taxonomy Code 208600000X
License State Michigan
License Number 4301103823
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According to our database, Dr. Ivan Kamikovski M.D. NPI is 1073953030, taxonomy code is 208600000X and license number is 4301103823, license state is located at Michigan. Ivan Kamikovski M.D. physically located at 16001 W 9 Mile Rd, Southfield MI, 48075-4818. NPI Number Ivan Kamikovski M.D. has the Individual type.

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1073953030 NPI number is provided on an as is basis without warranty of any kind. 1073953030 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Kamikovski M.D. are for informational purposes only.