Individual
DRAGANA DURDEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143-3887
(715) 732-8000
Mailing address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143-3887
(715) 732-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77046-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100205652
—
WI
Enumeration date
08/27/2019
Last updated
11/16/2022
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