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Contact Information

MILAN V PANTELIC, MD
HENRY FORD HEALTH SYSTEM
2799 WEST GRAND BOULEVARD
DETROIT, MI48202
 Phone: 313-916-2436
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nuclear Radiology

2085N0904X
Indicates primary specialty

NPI Profile & details for MILAN V PANTELIC · (Male)

NPI # 1013085752
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 03/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301052765
  • MI Medicaid 283987710
  • Other 700H262300 BLUE CROSS-BLUE CROSS
  • Other MP052765 CHAMPUS-CHAMPUS
  • Other MP052765 COMMERCIAL-COMMERCIAL NUMBER
Hospital affiliation(s)
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
  • HENRY FORD MACOMB HOSPITAL - (Acute Care)
    15855 NINETEEN MILE RD
    CLINTON TOWNSHIP, MI 48038
  • HENRY FORD WEST BLOOMFIELD HOSPITAL - (Acute Care)
    6777 WEST MAPLE ROAD
    W BLOOMFIELD, MI 48322
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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