Stipic-Petrovic, Desanka
Stipic-Petrovic, Desanka is an individual health care provider with primary practice located at 19900 E. 10 Mile Road Suite 102, St. Clair Shores MI 48080-4412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Stipic-Petrovic, Desanka can be contacted via phone (586) 776-3366.Contact Information
Primary practice address
19900 E. 10 Mile Road Suite 102
St. Clair Shores MI 48080-4412
Phone: (586) 776-3366
Fax: (586) 774-1808
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 060579 | Michigan |
Profile Details
NPI number | 1174527436 |
---|---|
LBN Legal business name | Stipic-Petrovic, Desanka |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2005 |
Last updated | Oct 23rd, 2019 - about 5 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 | 1174527436 | NPPES |
Michigan | MEDICAID | 3018457 TYPE10 |
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