MEDICARE: VPA PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1205068509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VPA PC

Provider Business Mailing Address
First Line	:	PO BOX 1500
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48376-1500
Country	:	US
Telephone Number	:	248-324-0700
Fax Number	:	248-324-1477

Provider Business Practice Location Address
First Line	:	800 E ELLIS RD
Second Line	:	STE. 225
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-5622
Country	:	US
Telephone Number	:	231-798-9840
Fax Number	:	231-798-9740

Authorized Official
Title or Position	:	OWNER
Name	:	ERLINDA B DELPILAR
Credential	:	MD
Telephone Number	:	248-893-0500

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	09/14/2009

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