Organization
MVC CLINICAL PRACTICE - MI PC
Active
Other names
Metro Vein Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MAX HUTTON MD (CHIEF MEDICAL OFFICER)
(248) 855-5355
Entity
Organization
Contact information
Practice address
7125 ORCHARD LAKE RD STE 120, WEST BLOOMFIELD, MI 48322-3627
(248) 855-5355
(248) 855-5455
Mailing address
7125 ORCHARD LAKE RD STE 316, WEST BLOOMFIELD, MI 48322-3629
(248) 855-5355
(248) 855-5455
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/23/2019
Last updated
09/12/2019
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