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BLOOMFIELD VEIN & VASCULAR PLLC NPI 1013309988


NPI Information

NPI: 1013309988
Provider Name: BLOOMFIELD VEIN & VASCULAR PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 23D2228990

Address:
43700 WOODWARD AVE STE 207
BLOOMFIELD HILLS, MI
ZIP 48302
Phone: (419) 794-1006
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BLOOMFIELD VEIN & VASCULAR PLLC is a vascular surgery surgery in Bloomfield Hills, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. BLOOMFIELD VEIN & VASCULAR PLLC NPI is 1013309988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

43700 WOODWARD AVE STE 207
BLOOMFIELD HILLS, MI
ZIP 48302-061
Phone: (419) 794-1006
Fax: (419) 873-6599

The provider's authorized official is Diego Hernandez .
The authorized official title is Owner and has the following contact phone number (419) 794-1006.

The CLIA number assigned to this NPI record is 23D2228990 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2015 and was last updated on 3/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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