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WILMA AGNELLO-DIMITRIJEVIC M.D.
NPI 1104865443
Psychiatry & Neurology - Neurology in Clinton Twp, MI

Active since June 05, 2006
15855 19 MILE RD, CLINTON TWP, MI 48038(586) 263-2300 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilma Agnello-dimitrijevic M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILMA AGNELLO-DIMITRIJEVIC M.D. (NPI 1104865443) is an individual neurology provider in Clinton Twp, Michigan, licensed in Michigan (WA058316) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104865443
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameWILMA AGNELLO-DIMITRIJEVICCredential: M.D.
Location Address15855 19 MILE RDClinton Twp, MI 48038-3504
Mailing Address43421 Garfield Rd, Ste1Clinton Twp, MI 48038-1133 · (586) 286-5500 · Fax (586) 286-0900
Phone(586) 263-2300
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateAugust 1, 2008
✔ NPI 1104865443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · WA058316
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
15855 19 MILE RD, Clinton Twp, MI 48038
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Other Identifiers 5

Medicaid3290951MI
Medicare ID-Type UnspecifiedOM28930MI
Medicare PIN0N31900022MI
Medicare UPING35382MI
Medicaid1104865443MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LEEANN WICKENS P.A.
Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 203-1940
CYNTHIA GEE D.O.
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (701) 340-2053
SARAH E NELSON
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (313) 623-7602
MS. KARA NICOLE SZCZOMAK PA-C
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2601
EMILY SOPEL
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2300
ANTONIO MACERI MD
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2300
HENRY FORD MACOMB HOSPITAL CORPORATION
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (568) 263-2705
JEFFREY A BERG CRNA
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilma Agnello-dimitrijevic's NPI number?

The NPI number for Wilma Agnello-dimitrijevic is 1104865443. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Wilma Agnello-dimitrijevic located?

Wilma Agnello-dimitrijevic practices at 15855 19 Mile Rd, Clinton Twp, MI 48038. The listed phone number is (586) 263-2300.

What is Wilma Agnello-dimitrijevic's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Wilma Agnello-dimitrijevic was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.