Healthcare Provider Details

I. General information

NPI: 1346565355
Provider Name (Legal Business Name): MARIANA DIMOVSKI ATANASOVSKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W UNIVERSITY DR STE 314
ROCHESTER MI
48307-1876
US

IV. Provider business mailing address

1000 W UNIVERSITY DR STE 314
ROCHESTER MI
48307-1876
US

V. Phone/Fax

Practice location:
  • Phone: 248-375-4033
  • Fax: 248-375-4034
Mailing address:
  • Phone: 248-375-4033
  • Fax: 248-375-4034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number4301096552
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: