Rodoljub Dimitrijevic MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

RD034830 Issued in MI

Legal business name

RODOLJUB DIMITRIJEVIC MD PC

Practice address

43421 Garfield Rd
Suite 1
Clinton TWP, MI 48038-1133

Phone

(586) 286-6072

Fax

(586) 286-0900

NPI assigned

Feb 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rodoljub Dimitrijevic, MD

Title

President

Phone

(586) 286-6072

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1780853267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43421 GARFIELD RD",
            "address_2": "SUITE 1",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381133",
            "telephone_number": "586-286-6072",
            "fax_number": "586-286-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43421 GARFIELD RD",
            "address_2": "SUITE 1",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381133",
            "telephone_number": "586-286-6072",
            "fax_number": "586-286-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLJUB DIMITRIJEVIC MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "DIMITRIJEVIC",
        "authorized_official_first_name": "RODOLJUB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-286-6072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "RD034830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115483",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan L Rix, OD
• Robert Waldmann DO PC
• Anthony Robichaud, DPT
• Cindy Sue Rodammer, PTA
• Tyson Roderique, DO
• Amanda Marie Roegner
• Tina M Rogal Vroman, R.N.
• Jessica Rae Rogal, LMSW
• Lillian Holly Rotar, LBSW
• Gynah Lecia Rouse, LPN

• Specialist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.