NORTHERN MICHIGAN VASCULAR LAB PC NPI 1548447683

NPI Information

  • NPI: 1548447683
  • Provider Name: NORTHERN MICHIGAN VASCULAR LAB PC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 3930 CEDAR RUN RD
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 935-0390

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NPI Details

NORTHERN MICHIGAN VASCULAR LAB PC is a vascular surgery surgery in Traverse City, 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. NORTHERN MICHIGAN VASCULAR LAB PC NPI is 1548447683. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3930 CEDAR RUN RD
TRAVERSE CITY, MI
ZIP 49684-687
Phone: (231) 935-0390
Fax: (231) 935-0395

The provider's authorized official is Michael David Colburn .
The authorized official title is President and has the following contact phone number (231) 935-0390.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 4/9/2008.

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
12086S0129XSurgeryVascular SurgeryYes

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: 11/21/2025

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