Individual
KOSTIANTYN ROMANIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30000 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334-3227
(248) 974-2511
Mailing address
30000 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334-3227
(248) 974-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351046269
MI
Other
Enumeration date
09/21/2020
Last updated
06/28/2023
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