Individual provider · Type 1 NPI

Brad Vamplew, PA-C

Medical Physician Assistant · Royal Oak, MI

NPI number 1902443047 Active

Practice location

31157 Woodward Ave
Royal Oak, MI 48073-0996

Mailing address

13716 Leroy St
Southgate, MI 48195-3112

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601009537 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1902443047

Brad Vamplew, PA-C's National Provider Identifier is 1902443047, issued on Dec 9, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Royal Oak, MI. The record was last updated on Dec 9, 2019.