Individual
BORIVOJE TRIFUNOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25710 KELLY RD, SUITE 3, ROSEVILLE, MI 48066-4959
(586) 772-2600
(586) 772-5289
Mailing address
25710 KELLY RD, SUITE 3, ROSEVILLE, MI 48066-4959
(586) 772-2600
(586) 772-5289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301080193
MI
208M00000X
Hospitalist Physician
4301080193
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730167644
NPI
MI
05
—
4772374
—
MI
05
—
4784212
—
MI
Enumeration date
01/03/2006
Last updated
01/21/2025
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