Individual
JO-ANNE VERGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY, ANN ARBOR, MI 48109-5054
(800) 862-7284
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
217744
MA
207ZH0000X
Hematology (Pathology) Physician
Primary
4301099841
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301099841
MI
Other
Enumeration date
05/09/2006
Last updated
12/30/2011
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