Individual provider · NPI-1

Kristifor Andjelkovski, D.O.

Family Medicine · Warren, MI

NPI number1780975250
StatusActive
Last updated in NPPESMay 2, 2011

Details

NPI
1780975250
Entity type
Individual (NPI-1)
Name
Kristifor Andjelkovski
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 2, 2011
Last updated
May 2, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5101019169MIYes

Practice location

27450 Schoenherr Rd
Ste. 400
Warren, MI 48088-6683

Phone 586-582-7550 · Fax 586-582-7515

Mailing address

27450 Schoenherr Rd
Ste. 400
Warren, MI 48088-6683

Phone 586-582-7550 · Fax 586-582-7515

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