Organization
FELICIA IVASCU, M.D. PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA A IVASCUR M.D. (OWNER)
(248) 288-1130
Entity
Organization
Contact information
Practice address
3535 W 13 MILE RD, ROYAL OAK, MI 48073-6710
(248) 288-1130
(248) 288-5931
Mailing address
3535 W 13 MILE RD, ROYAL OAK, MI 48073-6710
(248) 288-1130
(248) 288-5931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301076031
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5180350
—
MI
Enumeration date
04/18/2007
Last updated
10/24/2007
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