Organization
LOPE A VITANGCOL JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOPE A VITANGCOL JR. MD (PRESIDENT)
(269) 473-3402
Entity
Organization
Contact information
Practice address
450 MEDICAL PARK DR STE 100, WATERVLIET, MI 49098-8549
(269) 463-6490
(269) 463-6454
Mailing address
8740 N BLUFFVIEW DR, BERRIEN SPRINGS, MI 49103-1490
(269) 473-3402
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301040457
MI
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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