Individual
FELICIA IVASCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 W 13 MILE RD, 607, ROYAL OAK, MI 48073
(248) 288-1130
(248) 288-5931
Mailing address
3535 W 13 MILE RD, 607, ROYAL OAK, MI 48073
(248) 288-1130
(248) 288-5931
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
FI076031
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061807327
TAX IDENTIFICATION
MI
Enumeration date
03/08/2007
Last updated
01/19/2017
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