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INTEGRATED VASCULAR VEIN CENTER OF MICHIGAN PC NPI 1760900138


NPI Information

NPI: 1760900138
Provider Name: INTEGRATED VASCULAR VEIN CENTER OF MICHIGAN PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 23D2250169

Address:
600 HEALTH PARK BLVD STE G
GRAND BLANC, MI
ZIP 48439
Phone: (810) 606-1660
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INTEGRATED VASCULAR VEIN CENTER OF MICHIGAN PC is a vascular surgery surgery in Grand Blanc, 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. INTEGRATED VASCULAR VEIN CENTER OF MICHIGAN PC NPI is 1760900138. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

600 HEALTH PARK BLVD STE G
GRAND BLANC, MI
ZIP 48439-558
Phone: (810) 606-1660

The provider's authorized official is Thomas Shuster .
The authorized official title is President and has the following contact phone number (810) 955-4671.

The CLIA number assigned to this NPI record is 23D2250169 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2017 and was last updated on 7/21/2022.


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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