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NPI Code Detail

MEDICARE: VPA PC

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
1291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427120336
Entity Type Code : Organization
Provider Name (Legal Business Name) : VPA PC
Provider Business Mailing Address
First Line : PO BOX 40412
Second Line :
City : BELFAST
State : ME
Zip : 04915-1255
Country : US
Telephone Number : 248-266-4200
Fax Number : 248-324-1477
Provider Business Practice Location Address
First Line : 500 KIRTS BLVD
Second Line :
City : TROY
State : MI
Zip : 48084-4134
Country : US
Telephone Number : 248-824-6500
Fax Number : 855-824-8605
Authorized Official
Title or Position : OWNER
Name : DR. JEFFREY STEVENS
Credential : DO
Telephone Number : 248-824-6600
Provider Enumeration Date : 11/15/2006
Last Update Date : 03/23/2026

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1629172317 — RONALDO SAN JUAN MD
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Practice Location Address:
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Directions to “VPA PC ” Practice Location

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