Ethan S. Vantil in Traverse City - Internal Medicine
Ethan S. Vantil - NPI 1255323309
Ethan S. Vantil is a Internal Medicine in Traverse City, Michigan. Ethan S. Vantil practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ethan S. Vantil is 1255323309. The last update date is 2011-10-20.
Ethan S. Vantil's current location address is 3537 W Front St, Traverse City, Michigan. You can contact this provider via phone number 2319358950 and fax number 2319358868. The mailing address for Ethan S. Vantil is 3537 W Front St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan S. Vantil |
|---|---|
| Address | 3537 W Front St, Traverse City, Michigan |
| Phone Number | 2319358950 |
| Fax Number | 2319358868 |
| Sole Proprietor | N |
| Credentials | M. D. |
NPI Number Detail
| NPI Number | 1255323309 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2011-10-20 |
Provider Mailing Address Detail
| Address | 3537 W Front St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496847943 |
| Phone Number | 2319358950 |
| Fax Number | 2319358868 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301076955 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4298892 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ethan S. Vantil by the Centers for Medicare & Medicaid Services (CMS)?
The Ethan S. Vantil has been assigned the NPI (National Provider Identifier) 1255323309. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Ethan S. Vantil is physically located?
The Ethan S. Vantil is situated at the following address: 3537 W Front St, Traverse City, MI 496847943.
What is Ethan S. Vantil's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ethan S. Vantil is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
When was the Ethan S. Vantil's 1255323309 issued?
The Ethan S. Vantil's 1255323309 was issued on 2005-08-16.
As of what date was the information regarding Ethan S. Vantil, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ethan S. Vantil, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-20.