MEDICARE: DR. MARIANA DIMOVSKI ATANASOVSKI M.D.

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
1	390200000X	Student in an Organized Health Care Education/Training Program		MI
2	207N00000X	Dermatology Physician	4301096552	MI

General Provider Information

NPI Number	:	1346565355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIANA DIMOVSKI ATANASOVSKI M.D.

Provider Business Mailing Address
First Line	:	1000 W UNIVERSITY DR STE 314
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-1876
Country	:	US
Telephone Number	:	248-375-4033
Fax Number	:	248-375-4034

Provider Business Practice Location Address
First Line	:	1000 W UNIVERSITY DR STE 314
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-1876
Country	:	US
Telephone Number	:	248-375-4033
Fax Number	:	248-375-4034

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2010
Last Update Date	:	02/05/2025

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