Individual
DR. PAUL BRUCE FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14555 LEVAN RD, SUITE 307, LIVONIA, MI 48154-5083
(734) 462-1525
(734) 462-1830
Mailing address
14555 LEVAN RD, SUITE 307, LIVONIA, MI 48154-5083
(734) 462-1525
(734) 462-1830
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301057638
MI
2086S0129X
Vascular Surgery Physician
4301057638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-0826302-2
BCBSM INDIVIDUAL PIN#
MI
01
—
020H263670
BCBSM GROUP PIN#
MI
05
—
2833102
—
MI
01
—
B9740
MCARE INDIVIDUAL PIN#
MI
Enumeration date
02/15/2006
Last updated
03/22/2010
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