Individual
VESNA MICIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
808 COLUMBUS AVE APT 21D, NEW YORK, NY 10025-5169
(832) 370-3789
Mailing address
3100 W END AVE, SUITE 800, NASHVILLE, TN 37203-1320
(615) 345-5400
(888) 468-6603
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME104201
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
273487
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
62780
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2009
Last updated
04/28/2017
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