# VASCULAR SURGERY ASSOC, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VASCULAR SURGERY ASSOC, PC
- **Other names:** Michigan Vascular Center Lapeer
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124411244
- **Legal business name:** VASCULAR SURGERY ASSOC, PC
- **Authorized official:** MR. JOSEPH JACOT MBA (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (810) 732-1620

## Contact information

- **Practice address:** 1122 S LAPEER RD STE C, LAPEER, MI 48446-3387
- **Practice address phone:** (810) 272-3880
- **Practice address fax:** (810) 272-3770
- **Mailing address:** 5020 W BRISTOL RD, FLINT, MI 48507-2919
- **Mailing address phone:** (810) 732-8559
- **Mailing address fax:** (810) 732-8559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2015
- **Last updated:** 12/20/2023