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Vicente M Medalle, MD
Emergency Medical Services (Emergency Medicine) Physician in Burton, Michigan
NPI 1578546529

Vicente M Medalle is a Emergency Medical Services (Emergency Medicine) Physician based in Burton, MI and is specialized in Emergency Medical Services. Vicente M Medalle practices in Burton, MI and has the professional credentials of MD. The NPI Number for Vicente M Medalle is 1578546529 and holds a License No. 4301033720 (Michigan).

The current practice location address for Vicente M Medalle is 1460 N Center Rd, Burton, MI and can be reached out via phone at 810-715-4620 and via fax at 810-715-4602.

Location: 1460 N Center Rd, Burton, MI, 48509-1429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578546529
Provider Name
Vicente M Medalle
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1460 N Center Rd, Burton, MI, 48509-1429
Phone Number
810-715-4620
Fax Number
810-715-4602
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VM033720 01 BLUE CROSS BLUE SHIELD
P00213537 01 RAILROAD MEDICARE
3332980 05 MI
3332962 05 MI
3332971 05 MI
institution
Provider Business Practice Location Address Details
Address
1460 N Center Rd
City
Burton
State
Michigan
Zip
48509-1429
Phone Number
810-715-4620
Fax Number
810-715-4602
person
Provider Business Mailing Address Details
Address
1460 N Center Rd
City
Burton
State
Michigan
Zip
48509-1429
Phone Number
810-715-4620
Fax Number
810-715-4602
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
4301033720 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
4301033720 (Michigan)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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