St Clair Specialty Physicians Pc in Shelby Township - Vascular Surgery
St Clair Specialty Physicians Pc - NPI 1154361616
St Clair Specialty Physicians Pc is a Vascular Surgery in Shelby Township, Michigan. St Clair Specialty Physicians Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for St Clair Specialty Physicians Pc is 1154361616. The last update date is 2022-10-17.
St Clair Specialty Physicians Pc's current location address is 45640 Schoenherr Rd, Shelby Township, Michigan. You can contact this provider via phone number 5862474300 and fax number 5865326496. The mailing address for St Clair Specialty Physicians Pc is 45640 Schoenherr Rd, Shelby Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Clair Specialty Physicians Pc |
|---|---|
| Address | 45640 Schoenherr Rd, Shelby Township, Michigan |
| Phone Number | 5862474300 |
| Fax Number | 5865326496 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/MANAGI |
|---|---|
| Authorized Official Name | Provenzano Robert Christopher |
| Credentials | MD |
| Telephone Number | 5862867800 |
NPI Number Detail
| NPI Number | 1154361616 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2022-10-17 |
Provider Mailing Address Detail
| Address | 45640 Schoenherr Rd |
|---|---|
| City | Shelby Township |
| State | Michigan (MI) |
| Post Code | 483156033 |
| Phone Number | 5862474300 |
| Fax Number | 5865326496 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to St Clair Specialty Physicians Pc by the Centers for Medicare & Medicaid Services?
The St Clair Specialty Physicians Pc has been assigned the NPI (National Provider Identifier) 1154361616 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where St Clair Specialty Physicians Pc's facilities are situated?
The facilities of St Clair Specialty Physicians Pc are physically located at the following address: 45640 Schoenherr Rd, Shelby Township, MI, 483156033.
What is St Clair Specialty Physicians Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The St Clair Specialty Physicians Pc's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
When did the St Clair Specialty Physicians Pc receive its 1154361616?
The St Clair Specialty Physicians Pc was issued its 1154361616 on 2006-06-06, which is the date when the organization was assigned this unique identifier.
When was the information related to St Clair Specialty Physicians Pc most recently updated or refreshed?
The details pertaining to the St Clair Specialty Physicians Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-10-17.