Individual
DR. TATYANA VADIMOVNA KALINICHEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 577-2752
Mailing address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 577-2752
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301101984
MI
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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