Individual
THEODORE JOHN IWASHYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301091903
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D95263
MD
Other
Enumeration date
12/18/2006
Last updated
04/05/2023
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