Individual
JEREMY NATHANIEL MIHAJLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL61062926
WA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
8108621
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
05/29/2020
Last updated
03/06/2023
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