Healthcare Provider Details

I. General information

NPI: 1205068509
Provider Name (Legal Business Name): VPA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 09/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E ELLIS RD STE. 225
NORTON SHORES MI
49441-5622
US

IV. Provider business mailing address

PO BOX 1500
NOVI MI
48376-1500
US

V. Phone/Fax

Practice location:
  • Phone: 231-798-9840
  • Fax: 231-798-9740
Mailing address:
  • Phone: 248-324-0700
  • Fax: 248-324-1477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ERLINDA B DELPILAR
Title or Position: OWNER
Credential: MD
Phone: 248-893-0500