Individual
MATTHEW VASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21000 E 12 MILE RD, SUITE 100, SAINT CLAIR SHORES, MI 48081-1116
(313) 343-4370
Mailing address
21000 E 12 MILE RD, SUITE 100, SAINT CLAIR SHORES, MI 48081-1116
(313) 343-4370
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301097093
MI
208VP0000X
Pain Medicine Physician
Primary
4301097093
MI
Other
Enumeration date
07/02/2010
Last updated
10/22/2015
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