Individual
KATHERINE MARIE BOJICIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4351028894
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301115351
LARA
MI
Enumeration date
05/29/2018
Last updated
06/18/2019
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