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Organization
EUGENE W LAVERONI JR DO PC
Active
Organization
EUGENE W LAVERONI JR DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE W LAVERONI JR. DO (OWNER)
(248) 290-2940
Entity
Organization
Contact information
Practice address
28080 GRAND RIVER AVE, STE 207N, FARMINGTON HILLS, MI 48336-5966
(248) 471-8829
(248) 471-8352
Mailing address
28080 GRAND RIVER AVE, STE 207N, FARMINGTON HILLS, MI 48336-5966
(248) 471-8829
(248) 471-8352
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
03/31/2008
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