Individual
DR. CARL F CLAVENNA
Active
Individual
DR. CARL F CLAVENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301054362
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101441
CARE CHOICES PIN
MI
01
—
180F321870
BLUE CROSS GROUP NUMBER
MI
01
—
C4110
M-CARE ID #
MI
01
—
F48420
HAP PIN #
MI
01
—
G5031F
BLUE CARE NETWORK GROUP #
MI
Enumeration date
06/21/2005
Last updated
11/17/2021
Update your record
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