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Organization
SOMERSET VENOUS CENTER PC
Active
Organization
SOMERSET VENOUS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SUE ENGLE MD (PRESIDENT)
(248) 816-6300
Entity
Organization
Contact information
Practice address
3290 W BIG BEAVER, SUITE 410, TROY, MI 48084
(248) 816-6300
(248) 816-6335
Mailing address
3290 W BIG BEAVER, SUITE 410, TROY, MI 48084
(248) 816-6300
(248) 816-6335
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F32839
BCBS MI
—
Enumeration date
08/21/2006
Last updated
12/02/2009
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