Individual
LIOUDMILA KINACHTCHOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4705 TOWNE CTR, SUITE 102, SAGINAW, MI 48604-2818
(989) 790-2984
(989) 790-2983
Mailing address
4705 TOWNE CENTRE RD, SUITE 102, SAGINAW, MI 48604-2818
(989) 790-2984
(989) 790-2983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LK061473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4564845
—
MI
Enumeration date
09/09/2005
Last updated
06/04/2013
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