MISS Gorana Micevic

NPI #1710516604 in Du Quoin, Illinois

Provider Information

NPI Number: 1710516604
Entity Type: Individual
Name: MISS Gorana Micevic
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 3, 2020
Last Updated: Oct 7, 2020

Practice Location

Address: 1564 S WASHINGTON ST
City: Du Quoin
State: Illinois
ZIP Code: 62832-3849
Phone: (618) 542-8702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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