Individual
DR. IGOR LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-2323
(262) 329-1001
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36286-020
WI
208VP0014X
Interventional Pain Medicine Physician
36286
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32103500
—
WI
Enumeration date
11/30/2005
Last updated
10/09/2023
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