Individual
MILJAN R STANKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3564 SCOTTSDALE ST, PORTAGE, IN 46368-5420
(219) 763-8112
(219) 764-3251
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-3251
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
232251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02563564
—
NY
Enumeration date
09/15/2006
Last updated
03/24/2015
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