MYKOLA ALEXANDER PRISICHENKO

ADA, MI
NPI1982464624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601012367)
Enumeration Date2024-03-20
Last Update Date2024-03-20
Business Address
MYKOLA ALEXANDER PRISICHENKO
3369 QUIGGLE AVE SE
ADA, MI 49301-9291
Phone number: 616-581-8989
Mailing Address
MYKOLA ALEXANDER PRISICHENKO
3369 QUIGGLE AVE SE
ADA, MI 49301-9291
Phone number: 616-581-8989
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