Somerset Venous Center Pc in Troy - Vascular Surgery
Somerset Venous Center Pc - NPI 1740396043
Somerset Venous Center Pc is a Vascular Surgery in Troy, Michigan. Somerset Venous Center Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Somerset Venous Center Pc is 1740396043. The last update date is 2009-12-02.
Somerset Venous Center Pc's current location address is 3290 W Big Beaver, Troy, Michigan. You can contact this provider via phone number 2488166300 and fax number 2488166335. The mailing address for Somerset Venous Center Pc is 3290 W Big Beaver, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Somerset Venous Center Pc |
|---|---|
| Address | 3290 W Big Beaver, Troy, Michigan |
| Phone Number | 2488166300 |
| Fax Number | 2488166335 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Engle Sue Jennifer |
| Credentials | MD |
| Telephone Number | 2488166300 |
NPI Number Detail
| NPI Number | 1740396043 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2009-12-02 |
Provider Mailing Address Detail
| Address | 3290 W Big Beaver |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 48084 |
| Phone Number | 2488166300 |
| Fax Number | 2488166335 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0F32839 | BCBS MI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Somerset Venous Center Pc by the Centers for Medicare & Medicaid Services?
The Somerset Venous Center Pc has been issued the NPI (National Provider Identifier) 1740396043, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Somerset Venous Center Pc?
The Somerset Venous Center Pc is situated at 3290 W Big Beaver, in the city of Troy, state of MI, with the zip code 48084.
What is Somerset Venous Center Pc's area of expertise and its corresponding taxonomy classification?
The Somerset Venous Center Pc's field of specialization is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1740396043 to Somerset Venous Center Pc?
The Somerset Venous Center Pc received its 1740396043 assignment from the Centers for Medicare & Medicaid Services on 2006-08-21.
When was the Somerset Venous Center Pc's information last updated?
The Somerset Venous Center Pc's information was last updated on 2009-12-02.
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