Robert G. Vaclav D.O.
Pulmonary Disease Physician in Riverview, MI(View on Map)
Full Name
Robert G Vaclav D.O.
NPI Number
1205880192
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/22/2006
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
5101006380
Contact
Information
Purpose
Mailing
Location
Address
19020 FORT ST
19020 FORT ST
City
Riverview
Riverview
State
MI
MI
Postal Code
48193-6701
48193-6701
Country
US
US
Telephone Number
(734) 362-5100
(734) 362-5100
Identifiers
Identifier
700H21076
C4684
3221631
CC33713
8061647
125103
4037350
292373
5101006380
Identifier State
MI
MI
MI
MI
MI
MI
MI
MI
MI
Identifier Issuer
BCBSM
MCARE
Unknown
RR MEDICARE
CIGAN
MERCY CARE CHOICES
AETNA
UHC
PHYSICIAN LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/25/2010
Provider Address
Other Pulmonary Disease Physician in Riverview, Michigan:
Syed Raza MD
Riverview, MISpecialties: Critical Care Medicine (Internal Medicine) Physician (Primary)Pulmonary Disease PhysicianSleep Medicine (Internal Medicine) Physician