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Individual
MILENA KLJAIC
Active
Individual
MILENA KLJAIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704293137
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528545720
—
MI
01
—
MI4989661
MEDICARE PTAN
MI
Enumeration date
07/20/2018
Last updated
12/11/2018
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