Organization
VASCULAR SURGERY ASSOC PC
Active
Other names
Michigan Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH JACOT MBA (BUSINESS ADMINISTRATOR)
(810) 732-1620
Entity
Organization
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
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020B560600
BC/BS OF MICHIGAN
MI
Enumeration date
02/01/2006
Last updated
12/20/2023
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