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Organization

MICHAEL G VRANICH DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL GEORGE VRANICH D.O. (PRESIDENT)
(314) 291-6224
Entity
Organization

Contact information

Practice address
3444 MCKELVEY RD, BRIDGETON, MO 63044-2525
(314) 291-6224
(314) 291-7346
Mailing address
3444 MCKELVEY RD, BRIDGETON, MO 63044-2525
(314) 291-6224
(314) 291-7346

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R6314
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700862653
INDIVIDUAL NPI
05
241037217
MO
Enumeration date
01/31/2008
Last updated
10/28/2011
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