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Contact Information

NATHAN VANDJELOVIC
4201 SAINT ANTOINE ST # 9C
DETROIT, MI48201-2153
 Phone: 313-745-5147
 Fax: 313-966-0880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NATHAN VANDJELOVIC · (Male)

NPI # 1396086286
Status Active
Credentials
Entity Individual
Enumeration date 03/03/2013
Last updated 06/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101020558
  • NY License # 297940
Hospital affiliation(s)
  • STRONG MEMORIAL HOSPITAL - (Acute Care)
    601 ELMWOOD AVE
    ROCHESTER, NY 14642
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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