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NORTHERN MICHIGAN VASCULAR LAB PC
NPI 1548447683
Surgery - Vascular Surgery in Traverse City, MI

Active since January 30, 2008
3930 CEDAR RUN RD, TRAVERSE CITY, MI 49684(231) 935-0390(231) 935-0395 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northern Michigan Vascular Lab Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN MICHIGAN VASCULAR LAB PC (NPI 1548447683) is a healthcare organization registered as a vascular surgery in Traverse City, Michigan and active in the NPI registry since January 2008. The organization lists Michael David Colburn, President, as its authorized official.

NPPES Registry Identity

NPI1548447683
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameNORTHERN MICHIGAN VASCULAR LAB PC
Location Address3930 CEDAR RUN RDTraverse City, MI 49684-9687
Mailing Address3930 Cedar Run RdTraverse City, MI 49684-9687 · (231) 935-0390 · Fax (231) 935-0395
Phone(231) 935-0390
Fax(231) 935-0395
Organization SubpartNo
Authorized OfficialMichael David ColburnPresident · (231) 935-0390
Enumeration DateJanuary 30, 2008
Last NPPES UpdateApril 9, 2008
✔ NPI 1548447683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3930 CEDAR RUN RD, Traverse City, MI 49684
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHERN MICHIGAN VASCULAR CENTER P.C.
Surgery (Vascular Surgery)
3930 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0390
LAUREN CARDELLA DO
Surgery (Vascular Surgery)
3930 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0390
DR. MICHAEL D COLBURN
Surgery (Vascular Surgery)
3930 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0390
DR. MICHAEL JOHN BOROS MD
Surgery
3930 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0390
MATTHEW GEORGE ROOS M.D.
Surgery (Vascular Surgery)
3930 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Michigan Vascular Lab PC's NPI number?

The NPI number for Northern Michigan Vascular Lab PC is 1548447683. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Northern Michigan Vascular Lab PC located?

Northern Michigan Vascular Lab PC is located at 3930 Cedar Run Rd, Traverse City, MI 49684. The listed phone number is (231) 935-0390.

What is Northern Michigan Vascular Lab PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Northern Michigan Vascular Lab PC was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.