Vasil Mamaladze MD

NPI 1073832929 - Anesthesiology - 207L00000X

NPI Details
NPI 1073832929
Gender Male
Enumeration Date 05/18/2010
Last Updated 05/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1447 N HARRISON ST
SAGINAW MI, 48602-4727, US
Phone (989) 583-0000
Fax
Business Location
75 REMITTANCE DR DEPT 3040
CHICAGO IL, 60675-3040, US
Phone
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Pennsylvania
License Number MD438635
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According to our database, Vasil Mamaladze MD NPI is 1073832929, taxonomy code is 207L00000X and license number is MD438635, license state is located at Pennsylvania. Vasil Mamaladze MD physically located at 1447 N Harrison St, Saginaw MI, 48602-4727. NPI Number Vasil Mamaladze MD has the Individual type.

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1073832929 NPI number is provided on an as is basis without warranty of any kind. 1073832929 is maintained by the National Plan & Provider Enumeration System. The contents of Vasil Mamaladze MD are for informational purposes only.