Individual
DR. IVANA MARIA VETTRAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HURLEY PLZ # 9W, FLINT, MI 48503-5902
(810) 262-4787
(810) 262-9243
Mailing address
1 HURLEY PLZ, ATTN PROFESSIONAL BILLING DEPT, FLINT, MI 48503-5902
(810) 262-9002
(810) 262-7317
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301062868
MI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
100075
MO
207VM0101X
Maternal & Fetal Medicine Physician
4301062868
MI
207VM0101X
Maternal & Fetal Medicine Physician
73409-20
WI
207VM0101X
Maternal & Fetal Medicine Physician
M-13596
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4735826
—
MI
01
—
OB56025
BCBSM GROUP
MI
Enumeration date
01/11/2007
Last updated
06/21/2024
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