Male or Other

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)

Code

207RP1001X

Primary Taxonomy

Yes

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:

Male or Other

Syed Raza MD

Riverview, MI

Specialties: Critical Care Medicine (Internal Medicine) Physician (Primary)Pulmonary Disease PhysicianSleep Medicine (Internal Medicine) Physician