Individual
KRISTINA IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
3577 W 13 MILE RD STE 140, ROYAL OAK, MI 48073-6710
(248) 551-5792
(248) 551-8437
Mailing address
22006 E 13 MILE RD, SAINT CLAIR SHORES, MI 48082-1482
(586) 917-8015
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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