Provider Demographics
NPI:1740786755
Name:GJORGJEVSKA-SMILJKOVICH, SLAVICA (MD)
Entity Type:Individual
Prefix:MRS
First Name:SLAVICA
Middle Name:
Last Name:GJORGJEVSKA-SMILJKOVICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SLAVICA
Other - Middle Name:
Other - Last Name:GJORGJEVSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:30795 23 MILE RD.
Mailing Address - Street 2:SUITE #202
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047
Mailing Address - Country:US
Mailing Address - Phone:586-421-1740
Mailing Address - Fax:586-421-1744
Practice Address - Street 1:30795 23 MILE RD.
Practice Address - Street 2:SUITE #202
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047
Practice Address - Country:US
Practice Address - Phone:586-421-1740
Practice Address - Fax:586-421-1744
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301502456208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics