Individual
DAVID MATTHEW VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 COOLIDGE HWY STE 110, TROY, MI 48084-7067
(248) 288-2200
(248) 288-2278
Mailing address
400 N CRANBROOK RD, BLOOMFIELD HILLS, MI 48301-2608
(248) 821-6161
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301060296
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006476
MIDWEST HEALTH PLANS
MI
05
—
104087038
—
MI
01
—
116527
GREAT LAKES HEALTH PLAN
MI
01
—
200H261280
BCBSM/BCN
MI
01
—
236661
MEDICARE PROVIDER NO
MI
01
—
50807
OMNICARE HEALTH PLANS
MI
01
—
7979762
AETNA
MI
01
—
G97179
HEALTH ALLIANCE PLANS
MI
Enumeration date
05/11/2006
Last updated
08/11/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us