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Organization
BLOOMFIELD VEIN & VASCULAR PLLC
Active
Organization
BLOOMFIELD VEIN & VASCULAR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO HERNANDEZ M.D (OWNER)
(419) 794-1006
Entity
Organization
Contact information
Practice address
43700 WOODWARD AVE STE 207, BLOOMFIELD HILLS, MI 48302-5061
(419) 794-1006
(419) 873-6599
Mailing address
43700 WOODWARD AVE STE 207, BLOOMFIELD HILLS, MI 48302-5061
(419) 794-1006
(419) 873-6599
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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