Individual ProviderNicole MarijanovichInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712(248) 898-7999(947) 522-1952PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Marijanovich is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1003079088Provider TypeIndividualFull NameMarijanovich, NicoleCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/9/2008Last Updated7/29/2022Contact InformationPractice LocationPractice Address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712Phone(248) 898-7999Fax(248) 898-0580Mailing LocationMailing Address26901 Beaumont Blvd # 3d, Southfield, MI 48033-3849Phone(947) 522-1952Fax(947) 522-0307Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301092531Michigan