Vitaz, Todd W

Vitaz, Todd W is an individual health care provider with primary practice located at 25 Michigan St Ne Ste 6100, Grand Rapids MI 49503-2515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Vitaz, Todd W can be contacted via phone (616) 267-7900.

Contact Information

Primary practice address
25 Michigan St Ne Ste 6100 Grand Rapids MI 49503-2515
Fax: (616) 267-7901
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301101710 Michigan

Profile Details

NPI number 1770576977
LBN Legal business name Vitaz, Todd W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Feb 18th, 2021 - 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 1770576977 NPPES
Michigan MEDICAID 4301101710
Michigan Other 000023035G
Michigan Other P00711479
Michigan Other 3694171000
Michigan Other 047131
Michigan Other 196290EEEE
Michigan Other 000000604896
Michigan MEDICAID 200365220
Michigan Other 3637830

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