SERGEI VENIAMINOVICH DMITRUK MD
Individual Provider (NPI-1)
Active
Ophthalmology
Provider Information
- NPI Number
1184158602- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 4010 DUPONT CIR STE 380, LOUISVILLE, KY, 402074881
- Phone
- (502) 895-0040
- Fax
- (502) 214-3429
Specialties & Taxonomies
Ophthalmology
License: IN #01085592A
Ophthalmology
Primary License: KY #54890