# SOMERSET VENOUS CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740396043
- **Authorized official:** JENNIFER SUE ENGLE MD (PRESIDENT)
- **Authorized official phone:** (248) 816-6300

## Contact information

- **Practice address:** 3290 W BIG BEAVER, SUITE 410, TROY, MI 48084
- **Practice address phone:** (248) 816-6300
- **Practice address fax:** (248) 816-6335
- **Mailing address:** 3290 W BIG BEAVER, SUITE 410, TROY, MI 48084
- **Mailing address phone:** (248) 816-6300
- **Mailing address fax:** (248) 816-6335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 12/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0F32839 | BCBS MI | — |