Individual
DR. IRINA FIKSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31500 W 13 MILE RD, SUITE 105, FARMINGTON HILLS, MI 48334-2164
(248) 488-8700
Mailing address
31500 W 13 MILE RD, SUITE 105, FARMINGTON HILLS, MI 48334-2164
(248) 488-8700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
045475
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10 1742611
—
MI
05
—
1742611
—
MI
01
—
2606320341
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/18/2006
Last updated
06/09/2016
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