Individual
DR. MICHAEL JOHN KORIWCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD, STE 150, ATLANTA, GA 30342-1731
(404) 297-1780
(404) 252-7255
Mailing address
5673 PEACHTREE DUNWOODY RD, STE 150, ATLANTA, GA 30342-1731
(404) 297-1780
(404) 252-7255
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
040130
GA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
040130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00663935AF
—
GA
01
—
52448442
BCBS OF GEORGIA
GA
01
—
5576015
AETNA
GA
01
—
8306705
CIGNA
GA
Enumeration date
07/06/2005
Last updated
02/01/2017
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