Regents of the University of Michigan - Ambulatory Ctr for Vein Trtmt
Organization Active NPI Physician Assistant · Livonia, MI
NPI 1457782450 · NPPES record last updated Mar 6, 2014
Key facts
- NPI
- 1457782450
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physician Assistant 363A00000X
- Legal business name
- REGENTS OF THE UNIVERSITY OF MICHIGAN - AMBULATORY CTR FOR VEIN TRTMT
- Practice address
- 19900 Haggerty Rd
Suite 105
Livonia, MI 48152-1054 - Phone
- (734) 432-7811
- NPI assigned
- Dec 2, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- REGENTS OF THE UNIVERSITY OF MICHIGAN
Authorized official
- Name
- David A Spahlinger, MD
- Title
- Exec Medical Director Faculty GRP
- Phone
- (734) 936-3568
Practitioners 3
-
Gayle F. Adams, PA-C
National Provider Directory
- Part of
- Regents of the Univ of Mi
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | MI | Yes | |
| Medical Physician Assistant |
363AM0700X | MI | ||
| Surgical Physician Assistant |
363AS0400X | MI |
Addresses
Primary practice location
19900 Haggerty Rd
Suite 105
Livonia, MI 48152-1054
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Other providers in Livonia, MI
- Christina Marie Regan
- Jacqueline Regan
- Regents of the Univ of Michigan- Ambulatory Ctr for Vein Treatment
- Regents of the University of Michigan
- Regents of the University of Michigan
- Molly Rego
- Chester John Regula Jr.
- Rehabcare Connect PLLC
- Rehabx Physical Therapy LLC
- Rebecca Ann Rehberg
All providers in Livonia, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.