Vanvrancken, Michael Joseph

Vanvrancken, Michael Joseph is an individual health care provider with primary practice located at 11133 Dunn Rd , Saint Louis MO 63136-6163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Vanvrancken, Michael Joseph can be contacted via phone (314) 653-5630.

Contact Information

Primary practice address
11133 Dunn Rd Saint Louis MO 63136-6163
Phone: (314) 653-5630
Fax: (314) 653-4099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X MD.207945 Louisiana
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036.14361 Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2017013308 Missouri

Profile Details

NPI number 1881910396
LBN Legal business name Vanvrancken, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2010
Last updated Aug 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881910396 NPPES
Missouri MEDICAID 200042343

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