Dr. Judith Ann Ivacko
M.D. | Pediatric Neonatal-Perinatal Medicine | Female
Dr. Judith Ann Ivacko, M.D. is a Ypsilanti, Michigan based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Judith Ann Ivacko is
5301 E Huron River Dr, Ypsilanti, Michigan - 48197-1051. She can be contacted on phone at
734-712-3325 and fax number 734-712-5525.
Dr. Judith Ann Ivacko is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Judith Ann Ivacko is
1285693622 which was assigned by NPPES on 23 Mar, 2006 and it was last updated on 14 Oct, 2016.
Dr. Judith Ann Ivacko license number is
43-01-058648 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Michigan.
Dr. Judith Ann Ivacko is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Judith Ann Ivacko basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Judith Ann Ivacko |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Judith Ann Ivacko address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5301 E Huron River Dr
Ypsilanti, MI, 48197-1051
United States |
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| Phone Number : | 734-712-3325 |
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| Fax Number : | 734-712-5525 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285693622 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Mar, 2006 |
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| Last Updated On : | 14 Oct, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Judith Ann Ivacko are as mentioned. Primary taxonomy code for Dr. Judith Ann Ivacko, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 43-01-058648 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Judith Ann Ivacko such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 4282589 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 446
Ann Arbor, MI, 48106-0446
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Judith Ann Ivacko practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.