Provider Demographics
NPI:1316812928
Name:COMPREHENSIVE VASCULAR CARE
Entity type:Organization
Organization Name:COMPREHENSIVE VASCULAR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-465-4820
Mailing Address - Street 1:26850 PROVIDENCE PKWY STE 405
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1263
Mailing Address - Country:US
Mailing Address - Phone:248-465-4820
Mailing Address - Fax:248-443-1706
Practice Address - Street 1:26850 PROVIDENCE PKWY STE 405
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1263
Practice Address - Country:US
Practice Address - Phone:248-465-4820
Practice Address - Fax:248-443-1706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty