Individual
ANDREY LUTSKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
31000 TELEGRAPH RD, STE. 140, BINGHAM FARMS, MI 48025-4360
(248) 480-0895
(248) 480-0705
Mailing address
31000 TELEGRAPH RD, STE. 140, BINGHAM FARMS, MI 48025-4360
(248) 480-0895
(248) 480-0705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101016687
MI
Other
Enumeration date
08/09/2007
Last updated
05/21/2020
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