Individual
MS. LYNNE IVANKOVICS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
8391 COMMERCE RD, SUITE 101, COMMERCE TWP, MI 48382-4489
(248) 360-9090
(248) 360-9093
Mailing address
8391 COMMERCE RD, SUITE 101, COMMERCE TWP, MI 48382-4489
(248) 360-9090
(248) 360-9093
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003387
MI
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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