Individual
ALESSANDRO VIVACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ERNST CARDIOVASCULAR CENTER, ROYAL OAK, MI 48073-6712
(248) 898-0123
(248) 898-0124
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301108165
MI
Other
Enumeration date
07/14/2008
Last updated
07/10/2023
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