MEDICARE: DR. ANTONIO VASQUEZ MD

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	2086S0129X	Vascular Surgery Physician	AV034932	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11291166	OTHER	MI	CAQH
2	00990150332	OTHER	MI	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568569739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIO VASQUEZ MD

Provider Business Mailing Address
First Line	:	2010 15TH ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708
Country	:	US
Telephone Number	:	989-893-8361
Fax Number	:	989-893-3528

Provider Business Practice Location Address
First Line	:	2010 15TH ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708
Country	:	US
Telephone Number	:	989-893-8361
Fax Number	:	989-893-3528

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1285583385 — BREANNA HERMAN
Practice Location Address:

1900 COLUMBUS AVE
BAY CITY, MI
48708-6880

Practice Phone: 989-894-3000
Practice Fax:

1821773375 — DUSTIN FODO LLMSW
Practice Location Address:

690 S TRUMBULL ST
BAY CITY, MI
48708-7692

Practice Phone: 989-922-5700
Practice Fax: 989-771-7050

1497614465 — ALANNA ROSE OSUNA BA
Practice Location Address:

1010 N MADISON AVE
BAY CITY, MI
48708-5926

Practice Phone: 989-895-2324
Practice Fax: 989-895-2324

1306096946 — MS. DEANA SCHAD MA LPC
Practice Location Address:

1307 PARK AVE
BAY CITY, MI
48708-6341

Practice Phone: 989-625-1124
Practice Fax:

1487493698 — VANESSA SALISBURY
Practice Location Address:

900 CENTER AVE
BAY CITY, MI
48708-6189

Practice Phone: 989-891-9800
Practice Fax:

1902528045 — JACQUELINE DIANE LIST-HOUSER LMSW
Practice Location Address:

126 WASHINGTON AVE
BAY CITY, MI
48708-5846

Practice Phone: 989-672-6160
Practice Fax:

1184581795 — STEPHANIE A HAYNES LLC
Practice Location Address:

509 CENTER AVE STE 101
BAY CITY, MI
48708-5974

Practice Phone: 989-249-3227
Practice Fax: 989-509-5951

Directions to “ DR. ANTONIO VASQUEZ MD” 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.