Individual
MR. LJUBISA TASICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEARING AID DEALER
Contact information
Practice address
200 E BIG BEAVER RD, TROY, MI 48083-1208
(586) 604-5558
(248) 608-4612
Mailing address
1625 STONECREST DR, ROCHESTER HILLS, MI 48307-3472
(586) 604-5558
(248) 608-4612
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501004651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900E06513
BCBS
—
01
—
EYEMED
110955
—
Enumeration date
03/25/2008
Last updated
07/08/2014
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