Individual
IVANA PETROVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENESYS PKWY DEPT OF, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(810) 606-5359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011351
MI
Other
Enumeration date
07/27/2022
Last updated
09/15/2025
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