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Individual

OLEKSANDRA PTICHKINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8521 GEORGE, CENTER LINE, MI 48015-1733
(586) 328-6185
Mailing address
8521 GEORGE, CENTER LINE, MI 48015-1733
(586) 328-6185

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704333857
MI
363LF0000X
Family Nurse Practitioner
Primary
4704333857
MI

Other

Enumeration date
10/15/2019
Last updated
07/10/2026
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