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Michigan Vascular Access, Pc
Vascular Surgery Physician in Southfield, Michigan
NPI 1609077783

Michigan Vascular Access, Pc is a Vascular Surgery Physician based in Southfield, MI and is specialized in Vascular Surgery. Michigan Vascular Access, Pc practices in Southfield, MI. The NPI Number for Michigan Vascular Access, Pc is 1609077783 and holds a License No. MW051199 (Michigan).

The current practice location address for Michigan Vascular Access, Pc is 21701 W 11 Mile Rd, Southfield, MI and can be reached out via phone at 248-355-1100.

Location: 21701 W 11 Mile Rd, Southfield, MI, 48076-3713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609077783
Provider Name
Michigan Vascular Access, Pc
Credential
Provider Entity Type
Organization
Address
21701 W 11 Mile Rd, Southfield, MI, 48076-3713
Phone Number
248-355-1100
Fax Number
Provider Enumeration Date
05/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4697091 05 MI
MW051199 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
21701 W 11 Mile Rd
City
Southfield
State
Michigan
Zip
48076-3713
Phone Number
248-355-1100
Fax Number
person
Provider Business Mailing Address Details
Address
21701 W 11 Mile Rd
City
Southfield
State
Michigan
Zip
48076-3713
Phone Number
248-355-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
MW051199 (Michigan)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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