Individual
DR. BEVERLY L BLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19611 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1655
(586) 252-2116
Mailing address
28400 BROOKS LN, SOUTHFIELD, MI 48034-2005
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301406704
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
4301406704
MI
Other
Enumeration date
07/21/2006
Last updated
03/17/2018
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