Organization
CAREY M VIGOR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAREY MARIE VIGOR (PRES CEO)
(586) 615-4323
Entity
Organization
Contact information
Practice address
2725 PACKARD RD, # 101, ANN ARBOR, MI 48108-3443
(586) 615-4323
(810) 794-1844
Mailing address
18530 MACK AVE, # 478, GROSSE POINTE FARMS, MI 48236-3254
(586) 615-4323
(810) 794-1844
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301039392
MI
2084N0600X
Clinical Neurophysiology Physician
4301039392
MI
208VP0000X
Pain Medicine Physician
4301039392
MI
Other
Enumeration date
02/16/2006
Last updated
07/09/2012
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