Vendittelli, Philip Stanley

Vendittelli, Philip Stanley is an individual health care provider with primary practice located at 18303 E 10 Mile Rd Ste 100 , Roseville MI 48066-4989. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Vendittelli, Philip Stanley can be contacted via phone (586) 776-8877.

Contact Information

Primary practice address
18303 E 10 Mile Rd Ste 100 Roseville MI 48066-4989
Phone: (586) 776-8877
Fax: (586) 776-3092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101022293 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 51024546 Michigan
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 5315204612 Michigan

Profile Details

NPI number 1871949925
LBN Legal business name Vendittelli, Philip Stanley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2016
Last updated Jun 12th, 2023 - about 3 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 1871949925 NPPES
Michigan MEDICAID 5101024546

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