Provider Demographics
NPI:1336293257
Name:VEST, MICHAEL T (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:T
Last Name:VEST
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4745 OGLETOWN STANTON RD
Mailing Address - Street 2:MAP 1, SUITE 220
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2067
Mailing Address - Country:US
Mailing Address - Phone:302-368-5515
Mailing Address - Fax:302-366-1240
Practice Address - Street 1:4745 OGLETOWN STANTON RD
Practice Address - Street 2:MAP 1, SUITE 220
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2067
Practice Address - Country:US
Practice Address - Phone:302-368-5515
Practice Address - Fax:302-366-1240
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2012-08-27
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Provider Licenses
StateLicense IDTaxonomies
CT046028207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine