Individual
DR. VINSON CONSOLACION ULEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
319 HOSPITAL DR, STE 210, MARTINSVILLE, VA 24112-1929
(276) 666-7723
(276) 670-7046
Mailing address
1293 E PARKDALE AVE, STE 2300, MANISTEE, MI 49660-8904
(276) 666-7723
(276) 670-7046
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0102203934
VA
208600000X
Surgery Physician
5101016161
MI
Other
Enumeration date
08/14/2009
Last updated
09/25/2018
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