Judith Ann Ivacko in Ypsilanti - Neonatal-perinatal Medicine

Judith Ann Ivacko - NPI 1285693622

Judith Ann Ivacko is a Neonatal-perinatal Medicine in Ypsilanti, Michigan. Judith Ann Ivacko practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Judith Ann Ivacko is 1285693622. The last update date is 2016-10-14.

Judith Ann Ivacko's current location address is 5301 E Huron River Dr, Ypsilanti, Michigan. You can contact this provider via phone number 7347123325 and fax number 7347125525. The mailing address for Judith Ann Ivacko is 5301 E Huron River Dr, Ypsilanti, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith Ann Ivacko
Address 5301 E Huron River Dr, Ypsilanti, Michigan
Phone Number 7347123325
Fax Number 7347125525
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1285693622
Provider Enumeration Date 2006-03-23
Last Updated Date 2016-10-14

Provider Mailing Address Detail

Address 5301 E Huron River Dr
City Ypsilanti
State Michigan (MI)
Post Code 481971051
Phone Number 7347123325
Fax Number 7347125525

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 43-01-058648
Definition:
A pediatrician who 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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4282589 MI --

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FAQs about Judith Ann Ivacko

What is the unique identification code assigned to Judith Ann Ivacko by the Centers for Medicare & Medicaid Services?

The Judith Ann Ivacko has been issued the NPI (National Provider Identifier) 1285693622. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Judith Ann Ivacko is physically located?

The Judith Ann Ivacko is physically situated at the following address: 5301 E Huron River Dr, Ypsilanti, MI, 481971051.

What is the area of specialization for Judith Ann Ivacko, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Judith Ann Ivacko is Neonatal-perinatal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080N0001X.

When did Judith Ann Ivacko receive its 1285693622 assignment?

The Judith Ann Ivacko was assigned its 1285693622 on 2006-03-23, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Judith Ann Ivacko most recently updated or revised?

The information pertaining to Judith Ann Ivacko, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-14.

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