OrganizationActive
Vasaio, LLC
NPI 1609046184 · Procedural Dermatology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1609046184
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vickie Bennett, Owner(616) 942-2966
- License
- 5101012967 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1100 E Paris Ave Se
Grand Rapids, MI 49546-8367
Phone: (616) 942-2966
Approximate (ZIP-level) locationGet directions
Mailing address
1100 E Paris Ave Se
Grand Rapids, MI 49546-8367
Registry dates
- Enumerated
- 2008-03-11
- Last updated
- 2012-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.