Nedic, Igor

Nedic, Igor is an individual health care provider with primary practice located at 3350 Gratiot Blvd , Marysville MI 48040-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nedic, Igor can be contacted via phone (810) 364-4000.

Contact Information

Primary practice address
3350 Gratiot Blvd Marysville MI 48040-2121
Fax: (810) 364-5995
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301049512 Michigan

Profile Details

NPI number 1316913304
LBN Legal business name Nedic, Igor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Apr 7th, 2011 - about 13 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 1316913304 NPPES
Michigan MEDICAID 1316913304

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