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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, M.D., P.C.

NPI Number 1184723694
LBN Legal business name CARL F. CLAVENNA, M.D., P.C.
Authorized official CARL CLAVENNA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 11/17/2021 - About 5 years ago
Identifiers
MI Other G5031F BLUE CARE NETWORK GROUP
MI Other 180F321870 BLUE CROSS GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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