Individual provider · Type 1 NPI

Nathan Vandjelovic

Otolaryngology Physician · Detroit, MI

NPI number 1396086286 Active

Practice location

4201 Saint Antoine St # 9C
Detroit, MI 48201-2153

Call (313) 745-5147 Map

Fax (313) 966-0880

Mailing address

875S Brys Dr
Grosse Pointe Woods, MI 48236-1209

Specialties and licenses

Taxonomy	Code	License
Pediatric Pulmonology Physician	2080P0214X	297940 (NY)
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Otolaryngology Physician Primary	207Y00000X	5101020558 (MI)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1396086286

Nathan Vandjelovic's National Provider Identifier is 1396086286, issued on Mar 3, 2013. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 30, 2023.