Individual
ALLAN L IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(810) 732-1620
(810) 732-8559
Mailing address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(810) 732-1620
(810) 732-8559
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
AI044692
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202507492
BC/BS OF MICHIGAN
MI
01
—
0601232
HEALTHPLUS OF MICHIGAN
MI
01
—
113784
GREAT LAKES HEALTH PLAN
MI
01
—
120886
CARE CHOICE HMO
MI
05
—
1430937
—
MI
01
—
204104
MCLAREN HEALTH PLAN/ADVAN
MI
01
—
382237803107
COMMUNITY CHOICE
MI
01
—
4292691
AETNA
MI
01
—
B47732
HEALTH ALLIANCE PLAN
MI
01
—
C5093
M-CARE
MI
Enumeration date
01/31/2006
Last updated
11/27/2007
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