Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VICENTE D CABANSAG JR MD PC
Active
Organization
VICENTE D CABANSAG JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTE D CABANSAG JR. M.D. (PRESIDENT)
(269) 651-9302
Entity
Organization
Contact information
Practice address
68930 VINEWOOD AVE, STURGIS, MI 49091-8899
(269) 651-9302
(269) 651-4809
Mailing address
68930 VINEWOOD AVE, STURGIS, MI 49091-8899
(269) 651-9302
(269) 651-4809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301080148
MI
208600000X
Surgery Physician
033706
MI
208D00000X
General Practice Physician
033706
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131026
IBA
MI
01
—
020750206
BCBS OF MICHIGAN
MI
05
—
1074410 TYPE 10
—
MI
Enumeration date
02/21/2007
Last updated
01/27/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up