Individual
DR. WILLIAM A VENTIMIGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21000 E 12 MILE RD STE 112, SAINT CLAIR SHORES, MI 48081-1156
(586) 314-0080
(877) 673-3562
Mailing address
50505 SCHOENHERR RD, SUITE 290, SHELBY TOWNSHIP, MI 48315-3140
(586) 314-0080
(877) 673-3562
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301049948
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00425
BLUE CROSS
MI
05
—
3332229
—
MI
Enumeration date
07/13/2006
Last updated
03/11/2025
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