Individual provider · Type 1 NPI

Michael Mstislavovich Ivanitsky, MD

Orthopaedic Surgery Physician · Coquille, OR

NPI number 1003837410 Active

Practice location

940 E 5th St
Coquille, OR 97423-1699

Fax (541) 396-8135

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XMD22589 (OR)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

9 other providers at this address

About NPI 1003837410

Michael Mstislavovich Ivanitsky, MD's National Provider Identifier is 1003837410, issued on Jul 21, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Coquille, OR. The record was last updated on Sep 4, 2020.