Organization
RADIANT VASCULAR INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL ERMENTROUT (MANAGING PARTNER)
(616) 206-3551
Entity
Organization
Contact information
Practice address
25500 MEADOWBROOK RD STE 115, NOVI, MI 48375-1879
(616) 206-3551
Mailing address
25500 MEADOWBROOK RD STE 115, NOVI, MI 48375-1879
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
11/20/2025
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