Organization
TROY GASTROENTEROLOGY PC
Active
Organization
TROY GASTROENTEROLOGY PC
Active
Other names
Center For Digestive Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTE D BOLOGNA MD (DIRECTOR)
(586) 726-8423
Entity
Organization
Contact information
Practice address
1701 SOUTH BLVD E, 300, ROCHESTER HILLS, MI 48307-6122
(586) 726-8423
Mailing address
4600 INVESTMENT DR, 380, TROY, MI 48098-6365
(248) 267-5025
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100F31077
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
03/29/2006
Last updated
04/21/2021
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