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Individual

DR. JAN J VLACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3074 N US 31 S, TRAVERSE CITY, MI 49684-4533
(231) 929-1234
(231) 935-0984
Mailing address
3074 N US 31 S, TRAVERSE CITY, MI 49684-4533
(231) 929-1234
(231) 935-0984

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301050652
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000008909
CAP HEALTH
MI
01
080189369
RAILROAD MEDICARE
MI
01
0B81066
BLUE CARE NETWORK
MI
01
131726
UNITED HEALTH
MI
01
132959
CARE CHOICES
MI
01
1851344964
CORP NPI
MI
01
1962408393
JAN VLACH MD
MI
05
1962408393
MI
01
349386200
US POSTAL
MI
01
383530686
PPOM
MI
01
38353068654
COMMUNITY CHOICE
MI
05
4391556
MI
01
700B810660
BLUE CARE NETWORK
MI
01
A77940
PRIORITY HEALTH
MI
Enumeration date
06/21/2005
Last updated
03/15/2021
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