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DR. MICHAEL MARTIN VANVLIET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 3725, AUGUSTA, GA 30914-3725
(706) 863-9595
(706) 868-8375

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME123837
FL
2086S0102X
Surgical Critical Care Physician
ME123837
FL

Other

Enumeration date
10/19/2006
Last updated
01/18/2022
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