Wickman, Larysa Tarashevska

Wickman, Larysa Tarashevska is an individual health care provider with primary practice located at 1500 E Medical Center Dr 1St Floor Taubman Center Recp D, Ann Arbor MI 48109-5318. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Wickman, Larysa Tarashevska can be contacted via phone (734) 936-4210.

Contact Information

Primary practice address
1500 E Medical Center Dr 1St Floor Taubman Center Recp D Ann Arbor MI 48109-5318
Phone: (734) 936-4210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301089772 Michigan
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 4301089772 Michigan

Profile Details

NPI number 1063603082
LBN Legal business name Wickman, Larysa Tarashevska
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Oct 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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