Individual
DR. MICHAEL VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
1711 WOODLAWN AVE, WILMINGTON, DE 19806-2455
(302) 656-3319
Mailing address
1711 WOODLAWN AVE, WILMINGTON, DE 19806-2455
(302) 656-3319
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C10002069
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081114000
AMERIHEALTH HMO
—
01
—
2042344
AETNA
DE
01
—
26320
COVENTRY
DE
01
—
514
MID-ATLANTIC HEALTH SYSTE
—
Enumeration date
08/26/2006
Last updated
07/08/2007
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