Individual
MICHAIL VASILAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 MATTHEW ST STE 101, MARIETTA, OH 45750-1656
(740) 568-4150
(740) 568-4151
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125.055814
IL
207T00000X
Neurological Surgery Physician
Primary
35.130244
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210016
—
OH
Enumeration date
07/13/2009
Last updated
10/13/2020
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