| Doctor Name: | VINCENTE D. CABANSAG |
| NPI Number: | 1932106622 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4301033706 |
| Business Practice Address: | 68930 Vinewood Ave Sturgis, MI - 490918899 |
| Business Phone Number: | 2696519302 |
| Business Fax Number: | 2696514809 |
| Mailing Address: | 68930 Vinewood Ave, STURGIS |
| State: | MI |
| Postal Code: | 490918899 |
| Phone Number: | 2696519302 |
| Fax Number: | 2696514809 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 02/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301033706 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |