Organization · Type 2 NPI
Regents of the University of Michigan
Vascular Surgery Physician · Ann Arbor, MI
NPI number
1083649354
Active
Practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St, Provider Enrollment
Ann Arbor, MI 48108-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | None listed |
| Surgical Critical Care Physician | 2086S0102X | None listed |
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: 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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About NPI 1083649354
Regents of the University of Michigan's National Provider Identifier is 1083649354, issued on Jul 12, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Ann Arbor, MI. The record was last updated on Apr 5, 2021.