Individual
DR. BRIAN ANTHONY FERENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 4C, DETROIT, MI 48201-2153
(313) 745-4525
(313) 745-4399
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5972
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301083283
MI
207RI0011X
Interventional Cardiology Physician
4301083283
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-0-82-5281-1
BLUE CROSS BLUE SHIELD
MI
05
—
4822841
—
MI
Enumeration date
04/10/2006
Last updated
01/27/2014
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