Individual
ROBERT G VACLAV
Active
Individual
ROBERT G VACLAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
5101006380
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125103
MERCY CARE CHOICES
MI
01
—
292373
UHC
MI
05
—
3221631
—
MI
01
—
4037350
AETNA
MI
01
—
5101006380
PHYSICIAN LICENSE
MI
01
—
700H21076
BCBSM
MI
01
—
8061647
CIGAN
MI
01
—
C4684
MCARE
MI
01
—
CC33713
RR MEDICARE
MI
Enumeration date
05/22/2006
Last updated
02/25/2010
Update your record
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