Unknown Individual – Vascular Surgery Physician, NPI 1770036147

Unknown Individual is a healthcare provider. based in West bloomfield, Michigan. specializing in Vascular Surgery Physician. They hold a License No. 4301021568 (MI). The NPI Number for Unknown Individual is 1770036147

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770036147
Phone
(248) 851-7257
Address
3282 WOODVIEW LAKE RD
Deactivation Date
28 February 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3282, Woodview Lake Road, West Bloomfield Township, Oakland County, Michigan, 48323, United States

    WEST BLOOMFIELD, MI 483233570

    Phone: (248) 851-7257

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48323)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1770036147 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights West Bloomfield, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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