Michigan Vascular Institute PLLC
Michigan Vascular Institute PLLC provides Vascular Surgery Physician services in Birmingham, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
538 N Old Woodward AveBirmingham, MI 48009-5375
Phone: (248) 594-3091
Fax: (248) 594-3068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X · Licence 5101007182 (MI) |
|---|
Record details
| NPI number | 1093915910 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Derderian — Member · (248) 594-3091 |
| NPI enumerated | July 19, 2007 |
| Last updated in NPPES | February 23, 2023 |
| Certification date | February 23, 2023 |
| Mailing address | 538 N Old Woodward Ave, Birmingham, MI 48009-5375 |
Other providers in Birmingham
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Gregory Paul Derderian, DO
538 N Old Woodward Ave, Birmingham, MI 48009-5375 · (248) 594-3091