Individual
IGOR NEDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3350 GRATIOT BLVD, MARYSVILLE, MI 48040-2121
(810) 364-4000
(810) 364-5995
Mailing address
3050 COMMERCE DR, SUITE B, FORT GRATIOT, MI 48059-3819
(810) 385-4441
(810) 385-1540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301049512
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316913304
—
MI
Enumeration date
02/28/2006
Last updated
04/07/2011
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