Organization
ST CLAIR VASCULAR ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE M HALL (OFFICE ADMINISTRATOR)
(586) 772-4444
Entity
Organization
Contact information
Practice address
23829 LITTLE MACK, SUITE 200, ST. CLAIR SHORES, MI 48080-1113
(586) 772-4444
(586) 772-4411
Mailing address
23829 LITTLE MACK, SUITE 200, ST. CLAIR SHORES, MI 48080-1113
(586) 772-4444
(586) 772-4411
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
11/12/2009
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