PREMIER VASCULAR ASSOCIATES PLLC NPI 1972904951

NPI Information

NPI: 1972904951
Provider Name: PREMIER VASCULAR ASSOCIATES, PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
29519 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48081
Phone: (586) 270-5100
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PREMIER VASCULAR ASSOCIATES, PLLC is a vascular surgery surgery in Saint Clair Shores, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PREMIER VASCULAR ASSOCIATES, PLLC NPI is 1972904951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29519 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48081-275
Phone: (586) 270-5100
Fax: (586) 270-5111

The provider's authorized official is Jimmy C Haouilou .
The authorized official title is Sole Member and has the following contact phone number (586) 270-5100.

The enumeration date for this NPI number is 9/10/2014 and was last updated on 5/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	4301084691	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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