Larysa Tarashevska Wickman
M.D | Pediatric Nephrology | Female
Larysa Tarashevska Wickman, M.D is a Ann Arbor, Michigan based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Larysa Tarashevska Wickman is
1500 E Medical Center Dr, 1st Floor Taubman Center Recp D, Ann Arbor, Michigan - 48109-5318. She can be contacted on phone at
734-936-4210.
Larysa Tarashevska Wickman is a sole proprietor of her business.
NPI number (Unique professional ID) for Larysa Tarashevska Wickman is
1063603082 which was assigned by NPPES on 06 Aug, 2007 and it was last updated on 20 Oct, 2020.
Larysa Tarashevska Wickman license number is
4301089772 for Pediatrics Pediatric Nephrology (2080P0210X) in Michigan.
Larysa Tarashevska Wickman deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Larysa Tarashevska Wickman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Larysa Tarashevska Wickman |
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| Credential : | M.D |
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| Gender : | Female |
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Business Address:
Larysa Tarashevska Wickman 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 : | 1500 E Medical Center Dr, 1st Floor Taubman Center Recp D
Ann Arbor, MI, 48109-5318
United States |
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| Phone Number : | 734-936-4210 |
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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 : | 1063603082 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Aug, 2007 |
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| Last Updated On : | 20 Oct, 2020 |
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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 Larysa Tarashevska Wickman are as mentioned. Primary taxonomy code for Larysa Tarashevska Wickman, M.D is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4301089772 | MI |
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | 4301089772 | MI |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
3535 W 13 MILE RD STE 707,
ROYAL OAK, MI, 48073-6770
United States | ROYAL OAK, MI | 248-551-0487 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | lwickman1017978@direct.beaumont.edu
| No affiliation |
|
| 3535 W 13 MILE RD STE 707,
ROYAL OAK, MI, 48073-6770
United States |
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 : | 3621 S State St, 700 Kms Place
Ann Arbor, MI, 48108
United States |
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| Phone Number : | 734-936-2047 |
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Business Location:
Patients can refer following map for directions to
Larysa Tarashevska Wickman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.