Individual
TOMISLAV M. JELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT, CHARLESTON, WV 25304
(304) 388-5550
(304) 388-4352
Mailing address
415 MORRIS STREET, SUITE 304, CHARLESTON, WV 25301
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
17984
WV
Other
Enumeration date
06/23/2006
Last updated
07/15/2010
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