Individual
DR. JOHN NICHOLAS VITALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 GENESYS PARKWAY, GRAND BLANC, MI 48439
(810) 606-5000
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101019348
MI
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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