Healthcare Provider Details

I. General information

NPI: 1962198192
Provider Name (Legal Business Name): VAC HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5449 S OCCIDENTAL RD
TECUMSEH MI
49286-9782
US

IV. Provider business mailing address

5449 S OCCIDENTAL RD
TECUMSEH MI
49286-9782
US

V. Phone/Fax

Practice location:
  • Phone: 517-423-3901
  • Fax: 517-423-8199
Mailing address:
  • Phone: 517-423-3901
  • Fax: 517-423-8199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALLIE LEE CHERFAN
Title or Position: MEDICAL DIRECTOR/OWNER
Credential: DO
Phone: 734-634-6343