IVAN ANTONEVICH MD

SLOCUM DICKSON MEDICAL GROUP PLLC

Dr IVAN ANTONEVICH MD is a male medical professional, specializing in Pain Management. He graduated in 1994.

Contact

SLOCUM DICKSON MEDICAL GROUP PLLC

55 CENTRAL PLZ
ILION
NY
133571701

Tel: 3158940071

IVAN ANTONEVICH MD Information

Npi 1043256118
Pac Id 6709778392
Professional Enrollment Id I20040329000106
Last Name ANTONEVICH
First Name IVAN
Middle Name
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1994
Primary Specialty PAIN MANAGEMENT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SLOCUM DICKSON MEDICAL GROUP PLLC
Group Practice Pac Id 5799778510
Number Of Group Practice Members 107
Line 1 Street Address 55 CENTRAL PLZ
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ILION
State NY
Zip Code 133571701
Phone Number 3158940071
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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