Doctor Name: | MRS. LARYSA TARASHEVSKA WICKMAN |
NPI Number: | 1063603082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 4301089772 |
Business Practice Address: | 1500 E Medical Center Dr 1st Floor Taubman Center Recp D Ann Arbor, MI - 481095318 |
Business Phone Number: | 7349364210 |
Business Fax Number: | |
Mailing Address: | 3621 S State St, 700 Kms Place ANN ARBOR |
State: | MI |
Postal Code: | 48108 |
Phone Number: | 7349362047 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 04/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 4301089772 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |