Individual
MR. BORIS ATOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
25411 W WARREN AVE UNIT A, DEARBORN HEIGHTS, MI 48127-2066
(313) 791-0063
Mailing address
25411 W. WARREN AVE. UNIT-A, DEARBORN HEIGHTS, MI 48127-2066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000810690I
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810690I
ABC CERTIFIED PEDORTHIST
MI
Enumeration date
10/21/2011
Last updated
10/21/2011
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