YEVGENIY GORIVODSKIY

WARREN, MI
NPI1326125329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004664)
Enumeration Date2006-11-01
Last Update Date2024-03-26
Business Address
YEVGENIY GORIVODSKIY pa
13850 E 12 MILE RD
WARREN, MI 48088-3730
Phone number: 586-552-4499
Mailing Address
YEVGENIY GORIVODSKIY pa
13850 E 12 MILE RD
WARREN, MI 48088-3730
Phone number: 586-552-4499
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