Individual
DR. MICHAEL VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1101 W UNIVERSITY DR, ROCHESTER, MI 48307-1863
(248) 652-5000
Mailing address
2724 TRAFFORD RD, ROYAL OAK, MI 48073-4418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02008116A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101013667
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114409786
—
MI
01
—
MV013667
BC/BS
MI
Enumeration date
06/09/2006
Last updated
12/12/2024
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