NPI 1275759227

Felicia Ivascu, M.D. Plc

Organisation Specialist Royal Oak, MI

Practice location

Address: 3535 W 13 Mile Rd, Royal Oak, MI 48073-6710
Phone: (248) 288-1130
Fax: (248) 288-5931

Authorised official

Name: Felicia a Ivascur
Title: Owner
Phone: (248) 288-1130

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4301076031 (MI)

Other Specialist providers in Michigan →

Registry record

NPI: 1275759227
Entity type: Organization
NPI issued: 18 Apr 2007
Record last updated: 24 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.