Vercruysse, Gary Alec
Vercruysse, Gary Alec is an individual health care provider with primary practice located at 1500 E Medical Center Dr 2Nd Floor Taubman Center Recp F, Ann Arbor MI 48109-5332. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Vercruysse, Gary Alec can be contacted via phone (734) 936-5738.Contact Information
Primary practice address
1500 E Medical Center Dr 2Nd Floor Taubman Center Recp F
Ann Arbor MI 48109-5332
Phone: (734) 936-5738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L7591 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301070008 | Michigan |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | L7591 | Texas |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | L7591 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 4301070008 | Michigan |
Profile Details
| NPI number | 1316978877 |
|---|---|
| LBN Legal business name | Vercruysse, Gary Alec |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jan 15th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316978877 | NPPES |
| Texas | Other | P00063023 | RAILROAD MEDICARE |
| Texas | Other | 8K1490 | RAILROAD MEDICARE |
| Texas | MEDICAID | 165618301 | RAILROAD MEDICARE |
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