IndividualActive
Antonio Vicens, CCP
NPI 1154697902 · Perfusionist · Livonia, MI
Provider details
- NPI number
- 1154697902
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
30330 Schoolcraft Rd
Ste 200
Livonia, MI 48150-2000
Phone: (734) 525-9712
Approximate (ZIP-level) locationGet directions
Mailing address
30330 Schoolcraft Rd
Livonia, MI 48150-2000
Registry dates
- Enumerated
- 2012-03-27
- Last updated
- 2012-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.