Individual
DR. PETAR MIHAJLO ILIEVSKI
Active
Individual
DR. PETAR MIHAJLO ILIEVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
29489
IA
208800000X
Urology Physician
Primary
MD2011-0017
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443457
—
IA
01
—
37336
BLUE CROSS /BLUE SHIELD
IA
01
—
IA0132
JOHN DEER
IA
Enumeration date
02/08/2006
Last updated
07/01/2011
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