Individual
ANA VELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
2311 S 22ND ST, GRAND FORKS, ND 58201-6115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-14160
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
04/13/2015
Last updated
04/13/2018
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