Individual
GEORGE ROSTYSLAW WASYLYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20321 FARMINGTON RD, LIVONIA, MI 48152
(248) 473-4300
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301117518
MI
Other
Enumeration date
07/06/2016
Last updated
05/01/2019
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