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General NPI Number Information
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NPI Number | 1659361806
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Entity Type | Individual
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Provider Name | VESLAV STECEVIC MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 5701 BOW POINTE DRIVE SUITE 370
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City | CLARKSTON
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State | MI
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Zip | 48346
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Country | US
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Telephone | 248-625-4055
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Fax | 248-625-4085
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Provider Business Mailing Address
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Address Line | PO BOX 13906
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City | BELFAST
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State | ME
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Zip | 04915-4030
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Country | US
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Telephone | 248-625-4055
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Fax | 248-625-4085
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2023050619
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4301069946
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License Number State | MI
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