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Organization
NICOLE SAPIRO VINCKIER
Active
Organization
NICOLE SAPIRO VINCKIER
Active
Parent organization
GENERATIONS OB-GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERATIONS OB-GYN
Authorized official
MR. JOHN R SANBORN M.D. (CO-OWNER AUTHORIZED OFFICIAL)
(248) 647-9860
Entity
Organization
Contact information
Practice address
35046 WOODWARD AVE, STE 100, BIRMINGHAM, MI 48009-0964
(248) 647-9860
(248) 647-9864
Mailing address
1307 WEBSTER ST, BIRMINGHAM, MI 48009-7090
(818) 726-3262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007743
MI
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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