Organization
RANGER VASCULAR AND VEIN CENTER PLLC
Active
Organization
RANGER VASCULAR AND VEIN CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RANGER M.D. (OWNER)
(231) 360-1775
Entity
Organization
Contact information
Practice address
1225 W FRONT ST, SUITE B, TRAVERSE CITY, MI 49684-2368
(231) 360-1775
(231) 486-6067
Mailing address
1225 W FRONT ST, SUITE B, TRAVERSE CITY, MI 49684-2368
(231) 360-1775
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
E5524D
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280224
BCBS PIN
MI
01
—
11286550
CAQH ID
MI
01
—
1235121989
INDIVIDUAL NPI
MI
05
—
4211489
—
MI
Enumeration date
01/14/2015
Last updated
01/24/2015
Update your record
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