REGENTS OF THE UNIVERSITY OF MICHIGAN - AMBULATORY CTR FOR VEIN TRTMT
Organization (NPI-2)
Active
Physician Assistant
Provider Information
- NPI Number
1457782450- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 19900 HAGGERTY RD SUITE 105, LIVONIA, MI, 481521054
- Phone
- (734) 432-7811
Specialties & Taxonomies
Physician Assistant, Medical
License: MI
Physician Assistant, Surgical
License: MI
Physician Assistant
Primary License: MI