Popovich, Miodrag M
Popovich, Miodrag M is an individual health care provider with primary practice located at 2501 W Silver Spring Dr , Milwaukee WI 53209-4217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Popovich, Miodrag M can be contacted via phone (414) 461-9250.Contact Information
Primary practice address
2501 W Silver Spring Dr
Milwaukee WI 53209-4217
Phone: (414) 461-9250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20671-020 | Wisconsin |
Profile Details
| NPI number | 1134183023 |
|---|---|
| LBN Legal business name | Popovich, Miodrag M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Mar 16th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134183023 | NPPES |
| Wisconsin | MEDICAID | 31569700 |
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