Individual
VICENTE REDONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43134 DEQUINDRE RD, STERLING HEIGHTS, MI 48314-1723
(586) 446-8688
(586) 446-9994
Mailing address
46661 FIELDS DR, SHELBY TWP, MI 48315-5135
(586) 932-6331
(586) 932-6366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301048942
MI
207RI0200X
Infectious Disease Physician
Primary
4301048942
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105026191
BCBSMI PERSONAL PIN
MI
05
—
2878632
—
MI
05
—
4749062
—
MI
01
—
VR048942
LICENSE PIN
MI
Enumeration date
09/25/2006
Last updated
04/15/2019
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