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General NPI Number Information
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NPI Number | 1750102323
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Entity Type | Organization
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Legal Business Name | VITUITY-MICHIGAN HEALTH SERVICES PC
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 1521 GULL RD
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City | KALAMAZOO
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State | MI
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Zip | 49048-1640
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Country | US
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Telephone | 269-226-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 POWELL ST STE 400
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City | EMERYVILLE
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State | CA
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Zip | 94608-1872
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Country | US
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Telephone | 510-350-2638
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Fax |
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Authorized Official
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Title or Position | SECRETARY & TREASURER
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Name | DAVID ANDREW BIRDSALL
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Credential | MD
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Telephone | 510-350-2759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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