Ivanovic, Susan

Ivanovic, Susan is an individual health care provider with primary practice located at 16001 W 9 Mile Rd , Southfield MI 48075-4818. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Ivanovic, Susan can be contacted via phone (248) 849-3000.

Contact Information

Primary practice address
16001 W 9 Mile Rd Southfield MI 48075-4818
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301060181 Michigan

Profile Details

NPI number 1841231040
LBN Legal business name Ivanovic, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841231040 NPPES
Michigan Other SI060181 BC/BS OF MICHIGAN

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