Organization
A&A VASCULAR, PLLC
Active
Other names
Lake State Vein and Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN FOX (CREDENTIALING MANAGER)
(248) 568-8280
Entity
Organization
Contact information
Practice address
37504 7 MILE RD, LIVONIA, MI 48152-1004
(734) 744-4100
Mailing address
37504 7 MILE RD, LIVONIA, MI 48152-1004
(734) 744-4100
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
07/11/2023
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