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Maryana Yevtukh, DO
Family Medicine Physician in Kenosha, Wisconsin
NPI 1609281989

Maryana Yevtukh is a Family Medicine Physician based in Kenosha, WI. Maryana Yevtukh practices in Kenosha, WI and has the professional credentials of DO. The NPI Number for Maryana Yevtukh is 1609281989 and holds a License No. (Wisconsin).

The current practice location address for Maryana Yevtukh is 10400 75Th St, Kenosha, WI and can be reached out via phone at 262-948-7000 and via fax at 414-385-4436.

Location: 10400 75Th St, Kenosha, WI, 53142-7884
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609281989
Provider Name
Maryana Yevtukh
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
10400 75Th St, Kenosha, WI, 53142-7884
Phone Number
262-948-7000
Fax Number
414-385-4436
Provider Enumeration Date
06/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100081565 05 WI
institution
Provider Business Practice Location Address Details
Address
10400 75Th St
City
Kenosha
State
Wisconsin
Zip
53142
Phone Number
262-948-7000
Fax Number
414-385-4436
person
Provider Business Mailing Address Details
Address
10400 75Th St
City
Kenosha
State
Wisconsin
Zip
53142
Phone Number
262-948-7000
Fax Number
414-385-4436
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
69990 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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