Individual
EDWARD C VOMASTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684
(231) 935-5770
(231) 935-0747
Mailing address
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684
(231) 935-5770
(231) 935-0747
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101009635
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2915389
—
MI
Enumeration date
11/10/2005
Last updated
04/20/2015
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