| Blase Vitello, MD | |
|
605 Oak Street, Big Rapids, MI 49307 | |
| (231) 592-4212 | |
| (231) 592-4343 |
| Full Name | Blase Vitello |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 605 Oak Street, Big Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861450660 | NPI | - | NPPES |
| DC0138 | Other | MI | MEDICARE RR GROUP PIN |
| 300E410190 | Other | MI | BCBS GROUP PIN |
| 4503429 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301054808 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blase Vitello, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 353-7272 | Blase Vitello, MD 605 Oak Street, Big Rapids, MI 49307 Ph: (231) 592-4212 |
Stephen Brian Rupp, MD Radiology Medicare: Medicare Enrolled Practice Location: 605 Oak St, Big Rapids, MI 49307 Phone: 616-364-6700 Fax: 616-364-4960 | |
Dr. Craig B Karsama, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 605 Oak St, Big Rapids, MI 49307 Phone: 231-796-8691 Fax: 231-592-4494 |