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Contact Information

CARL F. CLAVENNA, M.D., P.C.
600 S ADAMS RD
SUITE 200
BIRMINGHAM, MI48009-6861
 Phone: 248-646-3733
 Fax: 248-642-2566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CARL F CLAVENNA MD PC · (Female)

NPI Number 1184723694
Status Active
Credentials
Entity Individual
Enumeration date 09/21/2006
Last updated 11/17/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other G5031F BLUE CARE NETWORK GROUP
  • MI Other 180F321870 BLUE CROSS GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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