Healthcare Provider Details

I. General information

NPI: 1043400963
Provider Name (Legal Business Name): DONNY MILOSEVSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 05/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2799 W GRAND BLVD HENRY FORD HOSPITAL
DETROIT MI
48202
US

IV. Provider business mailing address

2799 W GRAND BLVD HENRY FORD HOSPITAL
DETROIT MI
48202
US

V. Phone/Fax

Practice location:
  • Phone: 313-916-7952
  • Fax:
Mailing address:
  • Phone: 313-916-7952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301081970
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: