Individual
BLASE VITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 OAK STREET, BIG RAPIDS, MI 49307
(231) 592-4212
(231) 592-4343
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 353-7272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301054808
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300E410190
BCBS GROUP PIN
MI
05
—
4503429
—
MI
01
—
DC0138
MEDICARE RR GROUP PIN
MI
Enumeration date
05/02/2006
Last updated
03/14/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us