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Organization

ADVANCED CARDIAC & VASCULAR CENTERS FOR AMPUTATION PREVENTION PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FADI A SAAB MD (OWNER)
(616) 447-8220
Entity
Organization

Contact information

Practice address
1525 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-4598
(616) 447-8220
Mailing address
1525 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-4598
(616) 447-8220

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RI0011X
Interventional Cardiology Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528028412
MI
Enumeration date
11/02/2017
Last updated
10/09/2019
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