Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern Michigan Vascular Center PC

Organization Vascular Surgery Physician · NPI 1093994337

Northern Michigan Vascular Center PC provides Vascular Surgery Physician services in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3930 Cedar Run Rd
Traverse City, MI 49684-9687
Phone: (231) 935-0390
Fax: (231) 935-0395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 4301079215 (MI)

Record details

NPI number1093994337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Colburn — President · (231) 935-0390
NPI enumeratedNovember 2, 2007
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing address3930 Cedar Run Rd, Traverse City, MI 49684-9687

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