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Individual
VADIM S KOSHKIN
Active
Individual
VADIM S KOSHKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
126223
OH
207R00000X
Internal Medicine Physician
4301100757
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301100757
MI
Other
Enumeration date
06/19/2012
Last updated
06/24/2015
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