Individual
DANIELA ILIOSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 PARK 40 NORTH BLVD, SUITE A, KNOXVILLE, TN 37923-3624
(865) 692-3462
(865) 692-3463
Mailing address
320 PARK 40 NORTH BLVD, SUITE A, KNOXVILLE, TN 37923-3624
(865) 692-3462
(865) 692-3463
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301086246
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4985417
—
MI
Enumeration date
03/23/2007
Last updated
02/24/2016
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