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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134183023 NPPES
Wisconsin MEDICAID 31569700

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