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Organization

NONINVASIVE VASCULAR TESTING INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SETH W. WOLK M.D. (AUTHORIZED OFFICIAL)
(734) 434-4200
Entity
Organization

Contact information

Practice address
5325 ELLIOTT DR, YPSILANTI, MI 48197-8633
(734) 434-4200
Mailing address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 434-4200

Taxonomy

Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023635
MIDWEST HEALTH PLAN
MI
01
0988819
HEALTHPLUS OF MI
MI
01
0H11110
BLUE CROSS BLUE SHIELD
MI
01
127982
CARE CHOICES
MI
01
13753
PRIORITY HEALTH
MI
01
304234
JACKSON HEALTH PLAN
MI
01
38245
CAPE HEALTH
MI
01
CB2637
RAILROAD MEDICARE
MI
01
OP810047
M-CARE
MI
Enumeration date
01/29/2007
Last updated
08/22/2020
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