Individual
DR. LOPE ALVARAN VITANGCOL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 MEDICAL PARK DR, SUITE 100, WATERVLIET, MI 49098-8531
(269) 463-6490
(269) 463-6454
Mailing address
8740 N BLUFFVIEW DR, BERRIEN SPRINGS, MI 49103-1490
(269) 473-3402
(269) 463-6454
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301040457
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101418979
—
MI
Enumeration date
01/06/2006
Last updated
09/30/2011
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