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Contact Information

KRISTINA IVAN, MS, CGC
3577 W 13 MILE RD STE 140
ROYAL OAK, MI48073-6710
 Phone: 248-551-5792
 Fax: 248-551-8437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Genetic Counselor, MS

170300000X
Indicates primary specialty

NPI Profile & details for KRISTINA IVAN · (Female)

NPI # 1639849995
Status Active
Credentials MS, CGC
Entity Individual
Enumeration date 09/17/2021
Last updated 09/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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