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VASCULAR SURGERY ASSOC P.C. NPI 1033167176


NPI Information

NPI: 1033167176
Provider Name: VASCULAR SURGERY ASSOC, P.C.

Other Name: MICHIGAN VASCULAR ACCESS CENTER

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 23D2001100

Address:
5202 MILLER RD
FLINT, MI
ZIP 48507
Phone: (810) 600-0560
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VASCULAR SURGERY ASSOC, P.C. is a vascular surgery surgery in Flint, 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. VASCULAR SURGERY ASSOC, P.C. NPI is 1033167176. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Michigan Vascular Access Center.

The provider's business location address is:

5202 MILLER RD
FLINT, MI
ZIP 48507-040
Phone: (810) 600-0560
Fax: (810) 600-0561

The provider's authorized official is Joseph C Jacot .
The authorized official title is Business Administrator and has the following contact phone number (810) 732-1620.

The CLIA number assigned to this NPI record is 23D2001100 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 12/20/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryMICHIGANYes

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: 4/28/2024

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