Organization
DAVID K. VALLANCE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID K VALLANCE M.D. (PRESIDENT)
(734) 623-0100
Entity
Organization
Contact information
Practice address
3055 PLYMOUTH RD STE 102, ANN ARBOR, MI 48105-3208
(734) 623-0100
(734) 623-0101
Mailing address
3055 PLYMOUTH RD STE 102, ANN ARBOR, MI 48105-3208
(734) 623-0100
(734) 623-0101
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301053286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108125251
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
08/05/2007
Last updated
08/05/2007
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