Durdevic, Dragana

Durdevic, Dragana is an individual health care provider with primary practice located at 4061 Old Peshtigo Rd , Marinette WI 54143-3887. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Durdevic, Dragana can be contacted via phone (715) 732-8000.

Contact Information

Primary practice address
4061 Old Peshtigo Rd Marinette WI 54143-3887
Phone: (715) 732-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 77046-20 Wisconsin

Profile Details

NPI number 1053969600
LBN Legal business name Durdevic, Dragana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2019
Last updated Nov 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053969600 NPPES
Wisconsin MEDICAID 100205652

Popular Providers