Individual
ATANAS ILIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 JOHN ST STE 100, KALAMAZOO, MI 49007-5317
(269) 373-1222
Mailing address
788 SERVICE RD RM B301, CLINICAL CENTER, EAST LANSING, MI 48824-7049
(517) 353-5100
(517) 432-2759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021080
MI
207RC0000X
Cardiovascular Disease Physician
Primary
5101021080
MI
Other
Enumeration date
05/27/2014
Last updated
08/01/2022
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