NPI | 1508830076 |
---|---|
Doing Business As | STEVANOVIC FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | NEBOJSA STEVANOVIC Md 414-546-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 39372) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 39372) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2013-07-18 |