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NPI Code Detail

MEDICARE: MILICA STOJSAVLJEVIC

MEDICARE: MILICA STOJSAVLJEVIC
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
1183500000XPharmacist21441WI

General Provider Information

NPI Number : 1376255695
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILICA STOJSAVLJEVIC
Provider Business Mailing Address
First Line : 4730 S 27TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53221-2602
Country : US
Telephone Number : 414-817-0647
Fax Number :
Provider Business Practice Location Address
First Line : 4730 S 27TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53221-2602
Country : US
Telephone Number : 414-817-0647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2022
Last Update Date : 12/19/2022

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Directions to “ MILICA STOJSAVLJEVIC ” Practice Location

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