Individual
IVAN BANDOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22101 MOROSS RD STE 214, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
130 POST AVE APT 223, WESTBURY, NY 11590-3284
(646) 515-7133
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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