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VASCULAR SURGERY ASSOC PC NPI 1710959150


NPI Information

NPI: 1710959150
Provider Name: VASCULAR SURGERY ASSOC PC

Doing Business As: MICHIGAN VASCULAR CENTER

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
5020 W BRISTOL RD
FLINT, MI
ZIP 48507
Phone: (810) 732-1620
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VASCULAR SURGERY ASSOC PC 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 PC NPI is 1710959150. The provider is registered as an organization entity type.
The provider Is Doing Business As Michigan Vascular Center.

The provider's business location address is:

5020 W BRISTOL RD
FLINT, MI
ZIP 48507-919
Phone: (810) 732-1620
Fax: (810) 732-8559

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

The enumeration date for this NPI number is 2/1/2006 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
1335E00000XProsthetic/Orthotic SupplierNo
22086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020B560600OTHERMICHIGANBC/BS OF MICHIGAN

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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