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ST CLAIR VASCULAR ASSOCIATES PC NPI 1720167307


NPI Information

NPI: 1720167307
Provider Name: ST CLAIR VASCULAR ASSOCIATES PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
23829 LITTLE MACK
SUITE 200
ST. CLAIR SHORES, MI
ZIP 48080
Phone: (586) 772-4444
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ST CLAIR VASCULAR ASSOCIATES PC is a vascular surgery surgery in St. Clair Shores, 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. ST CLAIR VASCULAR ASSOCIATES PC NPI is 1720167307. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23829 LITTLE MACK
SUITE 200
ST. CLAIR SHORES, MI
ZIP 48080-113
Phone: (586) 772-4444
Fax: (586) 772-4411

The provider's authorized official is Diane M Hall .
The authorized official title is Office Administrator and has the following contact phone number (586) 772-4444.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 11/12/2009.


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: 5/5/2024

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