Organization
VEIN CENTER AND MEDICAL SPA
Active
Other names
Amalfi, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID AMALFITANO M.D. (PRESIDENT)
(231) 941-7500
Entity
Organization
Contact information
Practice address
4020 COPPER VW STE 212, TRAVERSE CITY, MI 49684-7041
(231) 941-7500
(231) 941-7509
Mailing address
4020 COPPER VW, SUITE 212, TRAVERSE CITY, MI 49684-7098
(231) 941-7500
(231) 940-7509
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5281088
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/01/2006
Last updated
10/16/2014
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