Provider Demographics
NPI:1245860840
Name:VLIEG, ALAN (PA)
Entity type:Individual
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First Name:ALAN
Middle Name:
Last Name:VLIEG
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Gender:M
Credentials:PA
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Mailing Address - Street 1:3041 ORCHARD PARK RD
Mailing Address - Street 2:STE C
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1238
Mailing Address - Country:US
Mailing Address - Phone:716-674-3104
Mailing Address - Fax:716-674-0666
Practice Address - Street 1:3041 ORCHARD PARK RD
Practice Address - Street 2:STE C
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1238
Practice Address - Country:US
Practice Address - Phone:716-674-3104
Practice Address - Fax:716-674-0666
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2024-08-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant