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Individual

OLEKSANDR OSIPCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
430 W MAIN ST, LEBANON, TN 37087-3502
(615) 444-3836
(615) 552-0089
Mailing address
430 W MAIN ST, LEBANON, TN 37087-3502
(615) 444-3836
(615) 552-0089

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
251696
NY
2084P0800X
Psychiatry Physician
Primary
45937
TN
2084P0800X
Psychiatry Physician
76056
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1520006
TN
Enumeration date
06/06/2008
Last updated
09/06/2023
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