Individual
MR. SHAUL GIVONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4123 MARTIN RD, SUITE 201, COMMERCE TOWNSHIP, MI 48390-4151
(248) 366-9170
(248) 366-9176
Mailing address
4123 MARTIN RD, SUITE 201, COMMERCE TOWNSHIP, MI 48390-4151
(248) 366-9170
(248) 366-9176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501004474
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650F301990
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
06/14/2005
Last updated
06/30/2008
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