# VASCULAR SURGERY ASSOC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VASCULAR SURGERY ASSOC, P.C.
- **Other names:** Clarkston Michigan Vascular
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134366024
- **Legal business name:** VASCULAR SURGERY ASSOC, P.C.
- **Authorized official:** MR. JOSEPH JACOT MBA (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (810) 732-1620

## Contact information

- **Practice address:** 5701 BOW POINTE DR, SUITE 2010, CLARKSTON, MI 48346-3198
- **Practice address phone:** (248) 620-3900
- **Practice address fax:** (248) 620-5390
- **Mailing address:** 5020 W BRISTOL RD, FLINT, MI 48507-2919
- **Mailing address phone:** (810) 732-1620
- **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:** 01/14/2009
- **Last updated:** 12/20/2023