Srkalovic, Gordon

Srkalovic, Gordon is an individual health care provider with primary practice located at 1215 E Michigan Ave , Lansing MI 48912-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Srkalovic, Gordon can be contacted via phone (517) 364-2890.

Contact Information

Primary practice address
1215 E Michigan Ave Lansing MI 48912-1811
Phone: (517) 364-2890
Fax: (517) 364-2886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301082787 Michigan

Profile Details

NPI number 1780783282
LBN Legal business name Srkalovic, Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780783282 NPPES
Michigan Other 1103310801 BCBS INDIVIDUAL PIN
Michigan MEDICAID 4550714 BCBS INDIVIDUAL PIN

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