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Vascular Surgery Assoc, PC

in Flint, MI. Organization (NPI-2).

NPI number1154198331
StatusActive
Last updated in NPPESDec 20, 2023

Details

NPI
1154198331
Entity type
Organization (NPI-2)
Legal business name
Vascular Surgery Assoc, PC
Organization subpart
Yes
Enumeration date
Dec 7, 2023
Certification date
Dec 20, 2023
Last updated
Dec 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X ––Yes

Other names

  • Innovative Wound Care Specialists (Other Name)

Practice location

5054 W Bristol Rd Ste E
Flint, MI 48507-2952

Phone 810-600-2030

Mailing address

5054 W Bristol Rd Ste E
Flint, MI 48507-2952

Phone 810-600-2030

Authorized official

Joseph M Jacot
Chief Executive Officer
8107321620

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