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Individual

JOHN E VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
8235 N HOLLY RD, SUITE 1, GRAND BLANC, MI 48439-2441
(810) 694-9700
(810) 694-9940
Mailing address
8235 N HOLLY RD, SUITE 1, GRAND BLANC, MI 48439-2441
(810) 694-9700
(810) 694-9940

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101012733
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020046189
PALMETTO GBA - RR MEDICAR
MI
01
0987785
GENESEE HEALTH PLAN
MI
01
0989830003
BLUE CROSS MEDICARE ADVAN
MI
01
1006245
MCLAREN HEALTH PLAN
MI
05
114190217
MI
01
127401
PREFERRED CHOICE
MI
01
382626202
CARE CHOICES
MI
01
5250193
BLUE CROSS
MI
01
7292237
AETNA
MI
01
C7107
MCARE
MI
01
H13883
HAP
MI
Enumeration date
07/13/2006
Last updated
05/01/2009
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