Individual
JURE GRAHOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
(313) 581-2600
(313) 581-0228
Mailing address
4760 W WICKFORD, BLOOMFIELD, MI 48302-2381
(248) 644-7234
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301035488
MI
207V00000X
Obstetrics & Gynecology Physician
JG035488
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001010
MIDWEST HEALTH PLAN
MI
01
—
106465
GREAT LAKES HEALTH PLAN
MI
01
—
118668
CARE CHOICES
MI
01
—
160H261380
BCBSM/BCN
MI
01
—
24979
OMNICARE HEALTH PLAN
MI
01
—
4564155
AETNA
MI
01
—
P00122436
PALMETTO
MI
Enumeration date
03/24/2006
Last updated
02/24/2025
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