DR. JUAN GABRIEL VASQUEZ


Address: 2660 44th St Sw Ste 100, Wyoming, MI 49519
Phone: 6162573344

DR. JUAN GABRIEL VASQUEZ (NPI# 1093981607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093981607
Entity Type Individual
Full Name DR. JUAN GABRIEL VASQUEZ
Credential M.D.
Practice Address 2660 44th St Sw Ste 100
Wyoming
MI 49519
Mailing Address 4175 Parkway Place Dr Sw
Grandville
MI 49418-2382
Practice Telephone 6162573344
Mailing Telephone 6162573344
Enumeration Date 2008-05-03
Last Update Date 2018-11-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology 5601102220 MI Allopathic & Osteopathic Physicians
Y 207ND0900X Dermatology
Specialization: Dermatopathology
5601102220 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS OF MICHIGAN 070D16223 01
MI MEDICARE GROUP 0D16223 01
MI MEDICARE RAILROAD GROUP CI2832 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
4285 Parkway Pl Sw, Grandville, MI 494182385 6162573344
3290 N Wellness Dr Ste 240, Holland, MI 494247261 6163959379
3124 N Wellness Dr Ste 50, Holland, MI 494248121 6162573344
750 E Beltline Ave Ne Ste 303, Grand Rapids, MI 495256046 6162573344
3434 Rivertown Point Ct Sw, Grandville, MI 494183076 6162573344

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1730719337 Juan Elias Vasquez Audiologist 920 W Cullom Ave Ph Unit, Chicago, IL 60613-1632 2020-01-22
1396167417 Juan E Vasquez Respiratory Therapist, Registered 1515 Colima St, San Antonio, TX 78207-5908 2014-01-08
1154667590 Juan Valentin Vasquez Physical Therapist 2301 S 17th St, Unit 2, Wilmington, NC 28401-7901 2012-12-12
1912046566 Juan M Vasquez Community Based Residential Treatment Facility, Mental Illness 9264 S. Wilt Bank Road, Tucson, AZ 85735 2007-02-06
1477593713 Juan C Vasquez Surgery 1698 E Mcandrews Rd Ste 160, Medford, OR 97504-5590 2006-06-07
1861092876 Juan Antonio Vasquez Counselor 2901 S H St, Bakersfield, CA 93304-5602 2020-10-28
1740508050 Juan Vasquez Pediatrics 333 Cedar St, Lmp 2073, New Haven, CT 06510-3206 2010-05-11
1912021320 Juan C. Vasquez Social Worker 614 Tully Rd, San Jose, CA 95111-1048 2007-03-19
1750364881 Juan Angel Vasquez Internal Medicine 420 E Division St, Fond Du Lac, WI 54935-4560 2005-11-22

Office Location

Street Address 2660 44TH ST SW STE 100
City WYOMING
State MI
Zip Code 49519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609855402 Douglas A Winstanley Dermatology 2660 44th St Sw Ste 100, Wyoming, MI 49519 2006-01-11
1528379153 Sarah Mcintyre Physician Assistant 2660 44th St Sw Ste 100, Wyoming, MI 49519 2010-06-29
1992912836 Jayme Marie Heim Dermatology 2660 44th St Sw Ste 100, Wyoming, MI 49519 2007-05-17
1407941396 Kurt Vander Veen Physician Assistant 2660 44th St Sw Ste 100, Wyoming, MI 49519 2006-10-04
1609896034 Jack A Dekkinga Md PC Specialist 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 2006-07-20
1528085040 Ronald W Reusch Dermatology 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 2006-07-17
1780619791 Amber E Kintigh Dermatology 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 2006-07-11
1255365334 Jack A Dekkinga Dermatology 2660 44th St Sw Ste 100, Wyoming, MI 49519 2006-07-11
1922032606 Molly R Duiven Dermatology 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 2006-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609364009 Alexandra K Hylen Dentist 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 2018-05-01
1962925685 Nicole Lee Kolasa Rehabilitation Counselor 2038 Melvin St. Sw, Wyoming, MI 49519 2017-07-25
1720534472 Michael Ash Rehabilitation Practitioner 1870 36th Street, Wyoming, MI 49519 2016-08-31
1891248993 Kayleigh Saucier Family Medicine 5900 Byron Center Avenue Se, Wyoming, MI 49519 2016-07-26
1093112799 Wmro LLC Radiology 5950 Metro Way, Wyoming, MI 49519 2014-11-24
1033547658 Maranda Catherine Gary Nurse Practitioner 2122 Health Drive, Wyoming, MI 49519 2013-10-16
1144657800 Diana Ro Psychologist 4211 Parkway Place Sw, #100, Wyoming, MI 49519 2013-09-26
1386077873 Lindsey Elizabeth Chorney Nurse Practitioner 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 2013-08-20
1124377163 Vision and Sensory Center of Michigan LLC Optometrist 4467 Byron Center Ave., Wyoming, MI 49519 2012-09-06
1881940203 Judah Durable Medical Equipment & Medical Supplies 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 2012-08-03
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Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114489945 Novice Aesthetics and Dermatology Pllc Dermatology 4120 W Maple Rd Ste 206, Bloomfield Hills, MI 48301-3068 2019-04-01
1962585596 Wei Su Dermatology 43900 Garfield Rd Ste 100, Clinton Township, MI 48038-1137 2006-10-24
1629090691 Janine Mangini Dermatology 16520 19 Mile Rd, Clinton Twp, MI 48038-1106 2006-07-25
1619909611 Nicole M. Bossenbroek Dermatology 6225 Prairie St, Norton Shores, MI 49444-7831 2006-07-07
1104874411 S L Husain Hamzavi Dermatology 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 2006-05-05
1528052834 John Michael Pelachyk Dermatology 1602 Military St, Port Huron, MI 48060-5933 2005-09-01
1528599750 Singer Dermatology Dermatology 29355 Northwestern Hwy, 302, Southfield, MI 48034-1053 2017-03-21
1538538178 Specialized Pathology Partners PC Dermatology 4798 Wenmar Dr, Saginaw, MI 48604-2843 2015-09-24
1255724100 West Michigan Pathology Specialists, PC Dermatology 1521 Gull Rd, Kalamazoo, MI 49048-1640 2015-03-16
1760812523 Scott Conley Bresler Dermatology 1500 E Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 2013-11-14
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Competitor

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City WYOMING
Zip Code 49519

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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