# INTEGRATED VASCULAR VEIN CENTER OF MICHIGAN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760900138
- **Authorized official:** DR. THOMAS SHUSTER DO (PRESIDENT)
- **Authorized official phone:** (810) 955-4671

## Contact information

- **Practice address:** 600 HEALTH PARK BLVD STE G, GRAND BLANC, MI 48439-2558
- **Practice address phone:** (810) 606-1660
- **Mailing address:** 600 HEALTH PARK BLVD STE G, GRAND BLANC, MI 48439-2558
- **Mailing address phone:** (810) 606-1660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2017
- **Last updated:** 07/21/2022