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Individual

OLEKSANDR N KRYVENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-5838
Mailing address
8772 SW 143RD ST, PALMETTO BAY, FL 33176-7233
(248) 880-5589

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L1295209
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME116092
FL

Other

Enumeration date
11/16/2008
Last updated
05/06/2015
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