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

DR. INGRID KAREN ICHESCO, M.D.

Active

DR. INGRID KAREN ICHESCO, M.D. is a Sports Medicine (Pediatrics) healthcare provider located in ANN ARBOR, Michigan. NPI 1588890057 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Pediatrics) · ANN ARBOR, MI

Registration Details

NPI Number
1588890057
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2009 (17.217074643276 yrs)
Last Updated
Oct 1, 2019
Licenses
4301094450 (MI)
4301094450 (MI)
4301094450 (MI)

Practice Information

Address
1500 E MEDICAL CENTER DR
ANN ARBOR, MI, 481095000
Browse MI providers · Browse ZIP 48109
Phone
7349364000
Primary Specialty
Sports Medicine (Pediatrics)
2080S0010X
Additional Specialty
Sports Medicine (Pediatrics)

Other Sports Medicine (Pediatrics) Providers in ANN ARBOR, MI

Name Credential NPI
LAURIE DIANE DONALDSON MD 1720189632
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.