Individual
DMITRI ZAICHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10822 LANTERN VIEW DR APT 307, FISHERS, IN 46038-4204
(765) 400-1401
Mailing address
10822 LANTERN VIEW DR APT 307, FISHERS, IN 46038-4204
(916) 216-4410
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
IN
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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