Most Relevant Information
Provider Data
| NPI Number: | 1003079088 |
| Provider Name: | NICOLE MARIJANOVICH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 4301092531 |
Most Important Dates
| Enumeration Date: | 07/09/2008 |
| Last Updated: | 07/29/2022 |
Provider Practice Location
3601 W 13 MILE RD
ROYAL OAK
MI
480736712
Practice Location Phone/Fax
| Phone: | 2488987999 |
| Fax: | 2488980580 |
Provider Mailing Location
26901 BEAUMONT BLVD # 3D
SOUTHFIELD
MI
480333849
Provider Mailing Phone/Fax
| Phone: | 9475221952 |
| Fax: | 9475220307 |
Suggested EMR
Internist EMR