Individual
OLEKSIY KULISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
43620 VINTAGE OAKS DR, STERLING HEIGHTS, MI 48314-2058
(248) 404-7196
Mailing address
43620 VINTAGE OAKS DR, STERLING HEIGHTS, MI 48314-2058
(248) 404-7196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704310118
MI
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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