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Individual

SERGEI G BOIKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
19991 HALL RD, STE 102, MACOMB, MI 48044-4254
(586) 263-4401
(586) 263-4402
Mailing address
19991 HALL RD STE 102, MACOMB, MI 48044-4254
(586) 263-4401
(586) 263-4402

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000211
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
640E014630
BCBS
Enumeration date
12/20/2006
Last updated
11/26/2019
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