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NPI Code Detail

MEDICARE: TATJANA SPASENOVSKA

MEDICARE:   TATJANA  SPASENOVSKA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1861177024
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATJANA SPASENOVSKA
Provider Business Mailing Address
First Line : 49212 GRACECHURCH RD
Second Line :
City : MACOMB
State : MI
Zip : 48044-1528
Country : US
Telephone Number : 586-504-4446
Fax Number : 586-991-5954
Provider Business Practice Location Address
First Line : 49212 GRACECHURCH RD
Second Line :
City : MACOMB
State : MI
Zip : 48044-1528
Country : US
Telephone Number : 586-504-4446
Fax Number : 586-991-5954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2023
Last Update Date : 10/25/2024

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Directions to “ TATJANA SPASENOVSKA ” Practice Location

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