Provider Demographics
NPI:1417385774
Name:VESNA L. ROI, D.O., P.C.
Entity Type:Organization
Organization Name:VESNA L. ROI, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VESNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:313-520-6017
Mailing Address - Street 1:12995 N BECK RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-2837
Mailing Address - Country:US
Mailing Address - Phone:313-520-6017
Mailing Address - Fax:
Practice Address - Street 1:1310 S MAIN ST
Practice Address - Street 2:(TOP FLOOR)
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-3786
Practice Address - Country:US
Practice Address - Phone:734-929-2696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101011687261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care