Individual
ANGELA BLAGOJEVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1500 US HIGHWAY 41, SCHERERVILLE, IN 46375-1316
(219) 440-7373
Mailing address
1500 US HIGHWAY 41, SCHERERVILLE, IN 46375-1316
(219) 440-7373
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001652A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085.003970
ILLINOIS PA LICENSE
IL
01
—
10001652A
INDIANA LICENSE NUMBER
IN
Enumeration date
02/23/2011
Last updated
06/19/2014
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