Ingrid Ichesco, M.D.

Individual Active
NPI 1588890057
Pediatric Sports Medicine Physician Ann Arbor, MI

Ingrid Ichesco, M.D. holds NPI 1588890057, with a primary taxonomy of pediatric sports medicine physician and a practice location in Ann Arbor, MI. The number was issued on June 10, 2009 and the NPPES record was last updated on October 1, 2019. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010X 4301094450 (MI)
Pediatrics Physician 208000000X 4301094450 (MI)
Student in an Organized Health Care Education/Training Program 390200000X 4301094450 (MI)

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000

Local context

Active NPPES records list 3 providers with pediatric sports medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 2 of them within 10 miles.

The same primary taxonomy is listed by 4 in Michigan and 288 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Ingrid Karen Ichesco
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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