Individual
IVANA POPOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E MICHIGAN AVE STE 340, LANSING, MI 48912-1894
(517) 364-5931
Mailing address
303 E KEARSLEY ST, FLINT, MI 48502-1907
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704326676NSA24004
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/06/2023
Last updated
11/04/2024
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