Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARYSA TARASHEVSKA WICKMAN, M.D
ActiveLARYSA TARASHEVSKA WICKMAN, M.D is a Pediatric Nephrology healthcare provider located in ANN ARBOR, Michigan. NPI 1063603082 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nephrology · ANN ARBOR, MI
Registration Details
- NPI Number
- 1063603082
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2007 (19.032565347074 yrs)
- Last Updated
- Oct 20, 2020
- Licenses
-
4301089772 (MI)4301089772 (MI)
Practice Information
- Address
-
1500 E MEDICAL CENTER DR1ST FLOOR TAUBMAN CENTER RECP DANN ARBOR, MI, 481095318Browse MI providers · Browse ZIP 48109
- Phone
- 7349364210
- Primary Specialty
-
Pediatric Nephrology
2080P0210X
- Additional Specialty
- Pediatric Nephrology
Other Pediatric Nephrology Providers in ANN ARBOR, MI
| Name | Credential | NPI |
|---|---|---|
| FRIEDHELM HILDEBRANDT | MD | 1912911173 |
| DAVID BERREY KERSHAW | MD | 1174539340 |
| KERA ELIZABETH LUCKRITZ | DO | 1346358595 |
| REBECCA M LOMBEL | M.D. | 1033312707 |
| DR. MATTHIAS T WOLF | M.D. | 1407059090 |
| CLARE JOAN LINDNER | MD | 1386932853 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.