Individual
DR. TRIFUN DIMITRIJEVSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153
(313) 745-3000
Mailing address
100 RIVERFRONT DR, APARTMENT 1507, DETROIT, MI 48226-4500
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301080336
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TD080336
BC/BS OF MICHIGAN
MI
Enumeration date
05/27/2006
Last updated
07/08/2007
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