Organization
ENDOVASCULAR CENTER OF AMERICA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREQ BAGHAL MD (OWNER)
(517) 787-3577
Entity
Organization
Contact information
Practice address
205 PAGE AVE STE A, JACKSON, MI 49201-2462
(517) 787-3577
Mailing address
205 PAGE AVE STE A, JACKSON, MI 49201-2462
(517) 787-3577
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
07/22/2021
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