Provider Demographics
NPI:1043600877
Name:OPALIC, VESNA
Entity Type:Individual
Prefix:
First Name:VESNA
Middle Name:
Last Name:OPALIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MILESEVSKA 2
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:SERBIA
Mailing Address - Zip Code:11000
Mailing Address - Country:CS
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MILESEVSKA 2
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:SERBIA
Practice Address - Zip Code:11000
Practice Address - Country:CS
Practice Address - Phone:38111-245-3449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ100065208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery