Individual
MICHAEL J. VASE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2751 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(307) 382-7414
Mailing address
2751 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(307) 382-7414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL410
WY
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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