Organization
NORTHERN MICHIGAN VASCULAR CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID COLBURN M.D. (PRESIDENT)
(231) 935-0390
Entity
Organization
Contact information
Practice address
3930 CEDAR RUN RD, TRAVERSE CITY, MI 49684-9687
(231) 935-0390
(231) 935-0395
Mailing address
3930 CEDAR RUN RD, TRAVERSE CITY, MI 49684-9687
(231) 935-0390
(231) 935-0395
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301079215
MI
Other
Enumeration date
11/02/2007
Last updated
03/02/2021
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