MEDICARE: COMPREHENSIVE VASCULAR CARE

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	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1316812928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE VASCULAR CARE

Provider Business Mailing Address
First Line	:	26850 PROVIDENCE PKWY STE 405
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48374-1263
Country	:	US
Telephone Number	:	248-465-4820
Fax Number	:	248-443-1706

Provider Business Practice Location Address
First Line	:	26850 PROVIDENCE PKWY STE 405
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48374-1263
Country	:	US
Telephone Number	:	248-465-4820
Fax Number	:	248-443-1706

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MS. STEFANIE STEWART
Credential	:
Telephone Number	:	248-465-4820

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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Directions to “COMPREHENSIVE VASCULAR CARE ” Practice Location

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