Individual
ARTEM TKACHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR., WPAFB, OH 45433
(937) 257-0837
Mailing address
88TH MEDICAL GROUP, 4881 MAPLE SUGAR DR., WPAFB, OH 45433
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34.016980
OH
Other
Enumeration date
04/07/2022
Last updated
12/11/2024
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