Individual
DR. IVAN KAMIKOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3073
Mailing address
22655 FAIRMONT DR, 201, FARMINGTON HILLS, MI 48335-4067
(917) 575-7418
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301103823
MI
Other
Enumeration date
07/04/2013
Last updated
07/04/2013
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