IndividualActive
Ivan Rakic
NPI 1487404968 · Vascular & Interventional Radiology Physician · Detroit, MI
Provider details
- NPI number
- 1487404968
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2085R0204X (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
270 E Palmer St
Detroit, MI 48202-3824
Phone: (773) 307-0710
Approximate (ZIP-level) locationGet directions
Mailing address
270 E Palmer St
Detroit, MI 48202-3824
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2024-03-26
- Certified
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.