| Vpa Pc Specialty Int Mi | |
|
2725 Airview Blvd Ste 105 Portage MI 49002-1804 | |
| (248) 434-6184 | |
| (855) 618-6655 |
| Full Name | Vpa Pc Specialty Int Mi |
|---|---|
| Speciality | Family Medicine |
| Location | 2725 Airview Blvd Ste 105, Portage, Michigan |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2484346184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpa Pc Specialty Int Mi Po Box 639295 Dept 93394 Cincinnati OH 45263-9295 Ph: (248) 434-6184 | Vpa Pc Specialty Int Mi 2725 Airview Blvd Ste 105 Portage MI 49002-1804 Ph: (248) 434-6184 |
| NPI Number | 1669091864 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669091864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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