Individual
DR. ANTONIO VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 15TH ST, BAY CITY, MI 48708
(989) 893-8361
(989) 893-3528
Mailing address
2010 15TH ST, BAY CITY, MI 48708
(989) 893-8361
(989) 893-3528
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
AV034932
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00990150332
BCBS
MI
01
—
11291166
CAQH
MI
05
—
1325154
—
MI
Enumeration date
09/20/2006
Last updated
07/08/2007
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