Provider Demographics
NPI:1801168075
Name:GRBIC, DRAGAN (MD)
Entity type:Individual
Prefix:DR
First Name:DRAGAN
Middle Name:
Last Name:GRBIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BALZAKOVA 38/VIII
Mailing Address - Street 2:
Mailing Address - City:NOVI SAD
Mailing Address - State:VOJVODINA
Mailing Address - Zip Code:21000
Mailing Address - Country:CS
Mailing Address - Phone:3816-334-4788
Mailing Address - Fax:
Practice Address - Street 1:HAJDUK VELJKOVA 1 UROLOGY DEPARTMENT
Practice Address - Street 2:
Practice Address - City:NOVI SAD
Practice Address - State:VOJVODINA
Practice Address - Zip Code:21000
Practice Address - Country:CS
Practice Address - Phone:38121-484-3484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI53706-020208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice