Individual provider · Type 1 NPI

Reva Mikho

Technician/Technologist · Bingham Farms, MI

NPI number 1700479045 Active

Practice location

32100 Telegraph Rd
Bingham Farms, MI 48025-2452

Call (248) 621-4792 Map

Mailing address

5328 Streefkerk Dr
Warren, MI 48092-3119

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1700479045

Reva Mikho's National Provider Identifier is 1700479045, issued on Feb 17, 2021. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Bingham Farms, MI. The record was last updated on Feb 17, 2021.