Organization
GASTROENTEROLOGY HEPATOLOGY AND ENDOSCOPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANDANA VEDULA MD (OWNER)
(989) 779-5277
Entity
Organization
Contact information
Practice address
411 W BROADWAY, STE A, MT PLEASANT, MI 48828
(989) 779-5277
(989) 779-5278
Mailing address
411 W BROADWAY, STE A, MT PLEASANT, MI 48828
(989) 779-5277
(989) 779-5278
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301079152
MI
Other
Enumeration date
06/14/2006
Last updated
08/22/2020
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