Individual
VASIL MAMALADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-0000
Mailing address
75 REMITTANCE DR DEPT 3040, CHICAGO, IL 60675-3040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301097411
MI
207L00000X
Anesthesiology Physician
4713-320
WI
Other
Enumeration date
05/18/2010
Last updated
08/21/2024
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