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Blase Vitello, MD
Diagnostic Radiology Physician in Big Rapids, Michigan
NPI 1861450660

Blase Vitello is a Diagnostic Radiology Physician based in Grand Rapids, MI and is specialized in Diagnostic Radiology. Blase Vitello practices in Big Rapids, MI and has the professional credentials of MD. The NPI Number for Blase Vitello is 1861450660 and holds a License No. 4301054808 (Michigan).

The current practice location address for Blase Vitello is 605 Oak Street, Big Rapids, MI and can be reached out via phone at 231-592-4212 and via fax at 231-592-4343.

Location: 605 Oak Street, Big Rapids, MI, 49525-9746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861450660
Provider Name
Blase Vitello
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
605 Oak Street, Big Rapids, MI, 49525-9746
Phone Number
231-592-4212
Fax Number
231-592-4343
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0138 01 MI MEDICARE RR GROUP PIN
300E410190 01 MI BCBS GROUP PIN
4503429 05 MI
institution
Provider Business Practice Location Address Details
Address
605 Oak Street
City
Big Rapids
State
Michigan
Zip
49307
Phone Number
231-592-4212
Fax Number
231-592-4343
person
Provider Business Mailing Address Details
Address
605 Oak Street
City
Big Rapids
State
Michigan
Zip
49307
Phone Number
231-592-4212
Fax Number
231-592-4343
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301054808 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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