# PARK PLACE VEIN CENTER

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

## Provider details

- **NPI number:** 1831129055
- **Authorized official:** DR. ALAN BRYAN NEWMAN M.D. (OWNER)
- **Authorized official phone:** (248) 465-4762

## Contact information

- **Practice address:** 47601 GRAND RIVER AVE, SUITE A-110, NOVI, MI 48374-1233
- **Practice address phone:** (248) 465-4762
- **Mailing address:** 3802 SPANISH OAKS DR, WEST BLOOMFIELD, MI 48323-1859
- **Mailing address phone:** (248) 465-4762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | AN 067888 | MI | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 08/22/2020