Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NIKOLA ILIC
Active Sole ProprietorNIKOLA ILIC is a Physician Assistant healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1861277386 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WEST BLOOMFIELD, MI
Registration Details
- NPI Number
- 1861277386
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2023 (2.938257140474 yrs)
- Last Updated
- Dec 4, 2023
- License
-
5601011801 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6777 W MAPLE RDWEST BLOOMFIELD, MI, 483223013Browse MI providers · Browse ZIP 48322
- Phone
- 2483250636
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEST BLOOMFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| JODI E LENNOX | PA-C | 1407826191 |
| MARIE STOCKDALE | PA | 1134197106 |
| MRS. LEEAH R SLOAN | P.A. | 1164458881 |
| BRETT F KUHLMANN | PAC | 1376570531 |
| MRS. JENNIFER LYNN O'NEILL | PA-C | 1295825347 |
| ROBERT QUIBLAN ARELLANO | — | 1891885315 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.