Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 4301089261 | MI |
NPI | 1124140405 |
---|---|
Provider Name | Alexey A Levashkevich |
First Address | Flint, MI 48532-3638 |
Second Address | Flint, MI 48532-2339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 29/11/2010 |