Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 4301094823 | MI |
NPI | 1003046186 |
---|---|
Provider Name | Dr. Gorica Milojevic |
First Address | Sterling Heights, MI 48314-1002 |
Second Address | Sterling Heights, MI 48314-1002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2009 |
Last Update Date | 26/06/2011 |