Ihor Alexander Krynycky, MD | |
829 N Center Ave, Suite 260, Gaylord, MI 49735-1595 | |
(989) 731-7729 | |
(989) 731-7983 |
Full Name | Ihor Alexander Krynycky |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 829 N Center Ave, Gaylord, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508897281 | NPI | - | NPPES |
DA0074 | Other | MEDICARE RR PROV ID | |
0406910201 | Other | MI | BCBSM PROVIDER NUMBER |
4605008 | Medicaid | MI | |
11383155 | Other | CAQH PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 4301060478 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ihor Alexander Krynycky, MD 829 N Center Ave, Suite 260, Gaylord, MI 49735-1595 Ph: (989) 731-7729 | Ihor Alexander Krynycky, MD 829 N Center Ave, Suite 260, Gaylord, MI 49735-1595 Ph: (989) 731-7729 |
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