Individual provider · Type 1 NPI

Stefano John Bordoli, MD

Vascular Surgery Physician · Grand Rapids, MI

NPI number 1760648364 Active

Practice location

275 Michigan St NE
Grand Rapids, MI 49503-2531

Call (616) 267-8700 Map

Fax (616) 267-8247

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X125051812 (IL)
Vascular Surgery Physician Primary 2086S0129XLL 33480 (SC)

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 1760648364

Stefano John Bordoli, MD's National Provider Identifier is 1760648364, issued on Aug 3, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 27, 2025.