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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
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