Provider Demographics
NPI:1205632643
Name:VASCULAR & INTERVENTIONAL PHYSICIANS
Entity type:Organization
Organization Name:VASCULAR & INTERVENTIONAL PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CUMMING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-743-9691
Mailing Address - Street 1:4254 QUEEN AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55410-1614
Mailing Address - Country:US
Mailing Address - Phone:612-743-9691
Mailing Address - Fax:
Practice Address - Street 1:4254 QUEEN AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55410-1614
Practice Address - Country:US
Practice Address - Phone:612-743-9691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty