Individual
VITO ANTHONY VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
Mailing address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5151015983
MI
Other
Enumeration date
01/10/2019
Last updated
10/06/2023
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