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1932561495
TOMMY IVANICS
DETROIT, MI
NPI
1932561495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-03-24
Last Update Date
2016-04-25
Business Address
-- TOMMY IVANICS M.D.
2799 W GRAND BLVD HENRY FORD HOSPITAL DEPARTMENT OF SURGERY
DETROIT, MI 48202-2608
Phone number: 313-916-3056
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Mailing Address
-- TOMMY IVANICS M.D.
202 6TH AVE NW APT. 206
ROCHESTER, MN 55901-2785
Phone number: 917-862-8424
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