Individual
DR. JOHN W. BROVIAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301034184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M54760003
MEDICARE PLUS BLUE
MI
01
—
1001247
MCLAREN HEALTH PLAN-MEDICAID
MI
01
—
110159644
RAILROAD MEDICARE
MI
01
—
1103351181
BCBS/BCN
MI
01
—
194055
PHCS
MI
01
—
200000001388
PHP
MI
05
—
3421169
—
MI
05
—
3421187
—
MI
01
—
5151077
AETNA
MI
Enumeration date
05/16/2006
Last updated
01/13/2010
Update your record
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