Individual provider · Type 1 NPI

Timothy Vitaly Kravchenko

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1396493854 Active

Practice location

1500 E Medical Center Drive, 2920 Taubman Center, Spc 5331
Ann Arbor, MI 48109-5331

Call (734) 936-5738 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351050602 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396493854

Timothy Vitaly Kravchenko's National Provider Identifier is 1396493854, issued on Mar 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on May 12, 2023.