Michael P Vercimak is a Surgery in Mendota, Illinois. Michael P Vercimak practices all healthcare services and medical treatments related to Surgery. The NPI Number for Michael P Vercimak is 1366500852. The last update date is 2011-12-22.
Michael P Vercimak's current location address is 1405 E 12th St, Mendota, Illinois. You can contact this provider via phone number 8155393831 and fax number 8155384202. The mailing address for Michael P Vercimak is 1405 E 12th St, Mendota, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael P Vercimak |
|---|---|
| Address | 1405 E 12th St, Mendota, Illinois |
| Phone Number | 8155393831 |
| Fax Number | 8155384202 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366500852 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2011-12-22 |
Provider Mailing Address Detail
| Address | 1405 E 12th St |
|---|---|
| City | Mendota |
| State | Illinois (IL) |
| Post Code | 613421495 |
| Phone Number | 8155393831 |
| Fax Number | 8155384202 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36067743 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5000301 | IL | BCBS | |
| 20002934 | RR MEDICARE | ||
| 20002934 | PALMETTO | ||
| 20002934 | GBA | ||
| 36067743 | IL | -- |
Post Comment/ Review Below
What is the Michael P Vercimak's unique identification number?
The Michael P Vercimak has been assigned the NPI (National Provider Identifier) Number 1366500852 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Michael P Vercimak?
The Michael P Vercimak is physically situated at 1405 E 12Th St, in the city of Mendota, state of IL, with the postal code 613421495.
What is the Michael P Vercimak's area of specialization and corresponding taxonomy classification?
The Michael P Vercimak's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did Michael P Vercimak receive its 1366500852 assignment from the Centers for Medicare & Medicaid Services?
The Michael P Vercimak was assigned its 1366500852 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michael P Vercimak most recently updated?
The details pertaining to the Michael P Vercimak, including its address, specialty, and other relevant information, were last refreshed on 2011-12-22.
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