Michigan Vascular Institute Pllc
NPI #1093915910 in Birmingham, Michigan
Provider Information
- NPI Number
- 1093915910
- Entity Type
- Organization
- Organization Name
- Michigan Vascular Institute Pllc
- Primary Specialty
- Surgery - Vascular Surgery
- Enumeration Date
- Jul 19, 2007
- Last Updated
- Feb 23, 2023
Practice Location
- Address
- 538 N OLD WOODWARD AVE
- City
- Birmingham
- State
- Michigan
- ZIP Code
- 48009-5375
- Phone
- (248) 594-3091
Authorized Official
- Name
- DR. GREGORY P. DERDERIAN, D.O.
- Title
- MEMBER
- Phone
- (248) 594-3091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
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