Individual
WILMA AGNELLO-DIMITRIJEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2300
Mailing address
43421 GARFIELD RD, STE1, CLINTON TWP, MI 48038-1133
(586) 286-5500
(586) 286-0900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
WA058316
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104865443
—
MI
05
—
3290951
—
MI
Enumeration date
06/05/2006
Last updated
08/01/2008
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