Regents of the University of Michigan - Ambulatory Ctr for Vein Trtmt

NPI #1457782450 in Livonia, Michigan

Provider Information

NPI Number
1457782450
Entity Type
Organization
Organization Name
Regents of the University of Michigan - Ambulatory Ctr for Vein Trtmt
Subpart
Yes (part of a larger organization)
Parent Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Primary Specialty
Physician Assistant
Enumeration Date
Dec 2, 2013
Last Updated
Mar 6, 2014

Practice Location

Address
19900 HAGGERTY RD
Address 2
SUITE 105
ZIP Code
48152-1054
Phone
(734) 432-7811

Authorized Official

Name
DAVID A SPAHLINGER, MD
Title
EXEC MEDICAL DIRECTOR FACULTY GRP
Phone
(734) 936-3568

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant - SurgicalSurgical
Physician Assistant

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