Provider Demographics
NPI:1326359605
Name:VOSEVICH, MICHAEL FREDRICK (RT (R))
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:FREDRICK
Last Name:VOSEVICH
Suffix:
Gender:M
Credentials:RT (R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:188 BRAESHIRE DR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63021-5401
Mailing Address - Country:US
Mailing Address - Phone:636-227-4441
Mailing Address - Fax:
Practice Address - Street 1:188 BRAESHIRE DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63021-5401
Practice Address - Country:US
Practice Address - Phone:636-227-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography