NPI 1639333198

Alessandro Vivacqua, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Royal Oak, MI

Practice location

Address: 3601 W 13 Mile Rd Ernst Cardiovascular Center, Royal Oak, MI 48073-6712
Phone: (248) 898-0123
Fax: (248) 898-0124
Mailing address: 26901 Beaumont Blvd STE 3d, Southfield, MI 48033-3849

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 4301108165 (MI)

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Registry record

NPI: 1639333198
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2008
Record last updated: 10 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.