Individual
FREDERICK MICHAEL VINCENT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 E SAGINAW ST, EAST LANSING, MI 48823-2740
(517) 337-3080
(517) 337-3082
Mailing address
250 E SAGINAW ST, EAST LANSING, MI 48823-2740
(517) 337-3080
(517) 337-3082
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301035133
MI
2084N0600X
Clinical Neurophysiology Physician
Primary
4301035133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1687260
—
MI
Enumeration date
01/04/2007
Last updated
10/20/2016
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