Northern Michigan Vascular Lab Pc in Traverse City - Vascular Surgery
Northern Michigan Vascular Lab Pc - NPI 1548447683
Northern Michigan Vascular Lab Pc is a Vascular Surgery in Traverse City, Michigan. Northern Michigan Vascular Lab Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Northern Michigan Vascular Lab Pc is 1548447683. The last update date is 2008-04-09.
Northern Michigan Vascular Lab Pc's current location address is 3930 Cedar Run Rd, Traverse City, Michigan. You can contact this provider via phone number 2319350390 and fax number 2319350395. The mailing address for Northern Michigan Vascular Lab Pc is 3930 Cedar Run Rd, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern Michigan Vascular Lab Pc |
|---|---|
| Address | 3930 Cedar Run Rd, Traverse City, Michigan |
| Phone Number | 2319350390 |
| Fax Number | 2319350395 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Colburn David Michael |
| Credentials | M.D. |
| Telephone Number | 2319350390 |
NPI Number Detail
| NPI Number | 1548447683 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
| Address | 3930 Cedar Run Rd |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496849687 |
| Phone Number | 2319350390 |
| Fax Number | 2319350395 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Post Comment/ Review Below
What is the Northern Michigan Vascular Lab Pc's unique identification number?
The Northern Michigan Vascular Lab Pc has been assigned the NPI (National Provider Identifier) Number 1548447683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Northern Michigan Vascular Lab Pc is located?
The Northern Michigan Vascular Lab Pc is situated at the following address: 3930 Cedar Run Rd, Traverse City, MI, 496849687.
What is Northern Michigan Vascular Lab Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Northern Michigan Vascular Lab Pc is Vascular Surgery, and the taxonomy code that classifies this field of practice is 2086S0129X.
On what date was the 1548447683 assigned to Northern Michigan Vascular Lab Pc?
The Northern Michigan Vascular Lab Pc was issued its 1548447683 on 2008-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Northern Michigan Vascular Lab Pc most recently updated or revised?
The information pertaining to Northern Michigan Vascular Lab Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-09.