Individual
DR. MARK R. VILLENEUVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14555 LEVAN RD, SUITE 202, LIVONIA, MI 48154-5083
(734) 542-4470
(734) 542-4475
Mailing address
14555 LEVAN RD, SUITE 202, LIVONIA, MI 48154-5083
(734) 542-4470
(734) 542-4475
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301051766
MI
207RP1001X
Pulmonary Disease Physician
Primary
MI4301051766
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301051766
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4200387
—
MI
Enumeration date
06/21/2006
Last updated
06/21/2021
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