JELICA MAZE

CROWN POINT, IN
NPI1811162704
Former NameJELICA JANICIJEVIC
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IN  01077479A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IN  01077479A)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: PA  MD445339)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: FL  ME112860)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL  036132452)
Enumeration Date2008-04-23
Last Update Date2024-01-12
Business Address
Dr. JELICA MAZE M.D.
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 46307-0264
Phone number: 219-662-0077
Mailing Address
Dr. JELICA MAZE M.D.
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800