Theresa Vettese
Internist Hospice and Palliative Medicine
50 E Canfield General Medicine Ambulatory Practice
Detroit
, Michigan 48201-1804
Theresa Vettese
Internist Hospice and Palliative Medicine
50 E Canfield General Medicine Ambulatory Practice
Detroit
, Michigan 48201-1804
(248) 581-5640
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Theresa Vettese
- 1420 Stephenson Hwy Suite 400-Credentialing
- Troy, MI
- Zip : 48083-1189
- Fax : (248) 581-5640
- Phone : (248) 581-5972
Second Address
- Theresa Vettese
- 50 E Canfield General Medicine Ambulatory Practice
- Detroit, MI
- Zip : 48201-1804
- Fax : (313) 966-7305
- Phone : (313) 745-4525
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 4301057647 | MI |
| Y | 111NI0900X | Internist | 4301057647 | MI |
| N | 207RH0002X | Hospice and Palliative Medicine | 4301057647 | MI |
National Provider Identifier
| NPI | 1316966906 |
|---|---|
| Provider Name | Theresa Vettese |
| First Address | Troy, MI 48083-1189 |
| Second Address | Detroit, MI 48201-1804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 08/11/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.