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1104922483
MILJAN R STANKOVIC
PORTAGE, IN
NPI
1104922483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 232251)
Enumeration Date
2006-09-15
Last Update Date
2015-03-24
Business Address
-- MILJAN R STANKOVIC MD
3564 SCOTTSDALE ST
PORTAGE, IN 46368-5420
Phone number: 219-763-8112
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Mailing Address
-- MILJAN R STANKOVIC MD
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112
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