Search › Michigan › 207Y00000X
Nathan Vandjelovic
NPI 1396086286 · on the registry since 2013
Practice
- Address
- 4201 Saint Antoine St # 9c
Detroit, MI 48201 - Phone
- (313) 745-5147
- Fax
- (313) 966-0880
- Clinicians at this address
- 87
Registry record
- Primary taxonomy
- 207Y00000X
207Y00000X
- Also registered as
- 2080P0214X
390200000X - Licence states on file
- NY, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan