Vicente M Medalle, MD

NPI #1578546529 in Burton, Michigan

Provider Information

NPI Number: 1578546529
Entity Type: Individual
Name: Vicente M Medalle, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine - Emergency Medical Services
Credential: MD
Enumeration Date: Nov 23, 2005
Last Updated: Sep 30, 2011

Practice Location

Address: 1460 N CENTER RD
City: Burton
State: Michigan
ZIP Code: 48509-1429
Phone: (810) 715-4620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X	Primary

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