Individual
DR. MICHAL VYTOPIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAHEY CLINIC INC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8630
(781) 744-5581
Mailing address
LAHEY CLINIC INC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8630
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
017754
ME
2084N0400X
Neurology Physician
Primary
246786
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110091340A
—
MA
05
—
432929599
—
ME
01
—
9355056
CIGNA HEALTHCARE
ME
Enumeration date
05/21/2007
Last updated
12/11/2012
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