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Individual
DR. VASSO G GODIALI
Active
Individual
DR. VASSO G GODIALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
VG065556
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200910161
BCBS
MI
01
—
11277067
CAQH
MI
05
—
4540351
—
MI
Enumeration date
10/16/2006
Last updated
08/03/2011
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