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Organization
MARTIN A V TUMA MD VASCULAR SURGERY PLLC
Active
Organization
MARTIN A V TUMA MD VASCULAR SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN A TUMA MD (OWNER)
(248) 559-1266
Entity
Organization
Contact information
Practice address
22255 GREEMFIELD ROAD #250, SOUTHFIELD, MI 48075
(248) 559-1266
(248) 559-5499
Mailing address
22255 GREEMFIELD ROAD #250, SOUTHFIELD, MI 48075
(248) 559-1266
(248) 559-5499
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
41055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020005310
RAILROAD MEDICARE
MI
01
—
020630705
BC/BS
MI
01
—
0630705
MEDICARE ID TYPE UNSPECIFIED
MI
05
—
1656836
—
MI
Enumeration date
10/06/2009
Last updated
08/05/2014
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