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Individual

VISESLAV TONKOVIC-CAPIN

Active
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Individual

VISESLAV TONKOVIC-CAPIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
04-31955
KS
207N00000X
Dermatology Physician
Primary
2009006327
MO
207N00000X
Dermatology Physician
C55335
CA
207N00000X
Dermatology Physician
N8251
TX
207ND0900X
Dermatopathology Physician
04-31955
KS
207ND0900X
Dermatopathology Physician
2009006327
MO
207ND0900X
Dermatopathology Physician
C55335
CA
207ND0900X
Dermatopathology Physician
N8251
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-31955
LICENSE
KS
01
2009006327
STATE LICENSE
MO
01
C55335
STATE LICENSE
CA
01
N8251
STATE LICENSE
TX
Enumeration date
08/23/2006
Last updated
10/02/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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