DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1205880192

NPI Code Detail

MEDICARE: ROBERT G VACLAV D.O.

MEDICARE: ROBERT G VACLAV D.O.

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	207RP1001X	Pulmonary Disease Physician	5101006380	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	CC33713	OTHER	MI	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	700H21076	OTHER	MI	BCBSM
2	C4684	OTHER	MI	MCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	8061647	OTHER	MI	CIGAN
6	125103	OTHER	MI	MERCY CARE CHOICES
7	4037350	OTHER	MI	AETNA
8	292373	OTHER	MI	UHC
9	5101006380	OTHER	MI	PHYSICIAN LICENSE

General Provider Information

NPI Number	:	1205880192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT G VACLAV D.O.

Provider Business Mailing Address
First Line	:	19020 FORT ST
Second Line	:
City	:	RIVERVIEW
State	:	MI
Zip	:	48193-6701
Country	:	US
Telephone Number	:	734-362-5100
Fax Number	:	734-362-5147

Provider Business Practice Location Address
First Line	:	19020 FORT ST
Second Line	:
City	:	RIVERVIEW
State	:	MI
Zip	:	48193-6701
Country	:	US
Telephone Number	:	734-362-5100
Fax Number	:	734-362-5147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	02/25/2010

Similar Medicare Providers

1669963047 — DR. LATORYA ANN HAMILTON MD
Practice Location Address:

19020 FORT ST
RIVERVIEW, MI
48193-6701

Practice Phone: 734-362-5100
Practice Fax:

1568413367 — HENRY M JURASEK M.D.
Practice Location Address:

19020 FORT ST
RIVERVIEW, MI
48193-6701

Practice Phone: 734-362-5100
Practice Fax: 734-362-5147

1528019155 — SUSAN JURASEK M.D.
Practice Location Address:

19020 FORT ST
RIVERVIEW, MI
48193-6701

Practice Phone: 734-362-5100
Practice Fax: 734-362-5147

1184677866 — FAMILY HEALTH PC
Practice Location Address:

19020 FORT ST
RIVERVIEW, MI
48193-6701

Practice Phone: 734-362-5100
Practice Fax: 734-362-5147

1912951807 — MAURA P O'CONNELL D.O.
Practice Location Address:

19020 FORT ST
RIVERVIEW, MI
48193-6701

Practice Phone: 734-362-5100
Practice Fax: 734-362-5147

1093820573 — NORA S CREIGHTON FNP-BC
Practice Location Address:

19020 FORT ST
RIVERVIEW, MI
48193-6701

Practice Phone: 734-362-5100
Practice Fax: 734-362-5147

Directions to “ ROBERT G VACLAV D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.