# DR. IVANA MARIA VETTRAINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417007428
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4301062868 | MI | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 100075 | MO | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | 4301062868 | MI | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 73409-20 | WI | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | M-13596 | ID | — |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 06/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4735826 | — | MI |
| 01 | — | OB56025 | BCBSM GROUP | MI |