Individual
DR. LJILJANA BOGUNOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5024
(262) 303-5024
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2015013276
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20023577
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/05/2009
Last updated
01/13/2021
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