Individual
ANDREW K VINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 WALL ST, ANN ARBOR, MI 48105-0714
(734) 763-1415
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301042290
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1339365
—
MI
Enumeration date
08/08/2006
Last updated
07/08/2007
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