Individual
TODD W VITAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 267-7900
(616) 267-7901
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301101710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000604896
ANTHEM - NNIKY
KY
01
—
000023035G
HUMANA - NNIKY
KY
01
—
047131
SIHO - NNIKY
KY
01
—
196290EEEE
MEDICARE - IN - NNIKY
IN
05
—
200365220
—
IN
01
—
3637830
CIGNA - NNIKY
KY
01
—
3694171000
PASSPORT ADVTG - NNIKY
KY
05
—
4301101710
—
MI
01
—
P00711479
RAILROAD KY MEDICARE - NNIKY
KY
Enumeration date
08/24/2005
Last updated
12/10/2024
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