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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROMAN IGOREVICH KRIVOCHENITSER, M.D.

Active

ROMAN IGOREVICH KRIVOCHENITSER, M.D. is a Glaucoma Specialist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1336553874 is currently active in the NPPES registry. Verify at CMS.

Glaucoma Specialist · GRAND RAPIDS, MI

Registration Details

NPI Number
1336553874
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2014 (12.195364945248 yrs)
Last Updated
Dec 11, 2024
Licenses
DR0061743 (CO)
5859-851 (WI)
4301105291 (MI)
DR0061743 (CO)
4301105291 (MI)

Practice Information

Address
1000 E PARIS AVENUE SE
STE 130
GRAND RAPIDS, MI, 495463680
Browse MI providers · Browse ZIP 49546
Phone
6169492001
Fax
6169498620
Primary Specialty
Glaucoma Specialist
207WX0009X
Additional Specialty
Ophthalmology
Additional Specialty
Ophthalmology
Additional Specialty
Glaucoma Specialist
Additional Specialty
Glaucoma Specialist

Other Glaucoma Specialist Providers in GRAND RAPIDS, MI

Name Credential NPI
KARL J SIEBERT M.D. 1205809159
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.