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Organization
VEIN CENTER AND MEDICAL SPA
Active
Organization
VEIN CENTER AND MEDICAL SPA
Active
Other names
Amalfi, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID AMALFITANO M.D. (PRESIDENT)
(231) 941-7500
Entity
Organization
Contact information
Practice address
4020 COPPER VW STE 212, TRAVERSE CITY, MI 49684-7041
(231) 941-7500
(231) 941-7509
Mailing address
4020 COPPER VW, SUITE 212, TRAVERSE CITY, MI 49684-7098
(231) 941-7500
(231) 940-7509
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5281088
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/01/2006
Last updated
10/16/2014
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