OrganizationActive
St Clair Vascular Associates PC
NPI 1720167307 · Vascular Surgery Physician · St. Clair Shores, MI
Provider details
- NPI number
- 1720167307
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Hall, Office Administrator(586) 772-4444
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23829 Little Mack
Suite 200
St. Clair Shores, MI 48080-1113
Phone: (586) 772-4444
Fax: (586) 772-4411
Street-level locationGet directions
Mailing address
23829 Little Mack
St. Clair Shores, MI 48080-1113
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2009-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.