Provider Demographics
NPI:1003298464
Name:KINASCHUK, VERONIKA (MD)
Entity Type:Individual
Prefix:MRS
First Name:VERONIKA
Middle Name:
Last Name:KINASCHUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:VERONIKA
Other - Middle Name:
Other - Last Name:NOVGORODOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1000 HOUGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5303
Mailing Address - Country:US
Mailing Address - Phone:989-746-7500
Mailing Address - Fax:989-746-7723
Practice Address - Street 1:1000 HOUGHTON AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5303
Practice Address - Country:US
Practice Address - Phone:989-746-7500
Practice Address - Fax:989-746-7658
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301505610207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology