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Individual

DEBRA PEVEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(313) 916-2585
(313) 916-3014
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(313) 916-2585
(313) 916-3014

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DP009646
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1012243
MCLAREN
MI
01
1012243
HEALTH ADVANTAGE
05
114651261
MI
01
1356510065
BLUE CROSS
MI
01
P00203101
MEDICARE RAILROAD
Enumeration date
01/27/2006
Last updated
04/26/2013
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