Individual
DR. BRIAN VAL FAVERO
Active
Individual
DR. BRIAN VAL FAVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
BF064615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M34510001
MEDICARE INDIVIDUAL
MI
01
—
1807400532
BLUE CROSS OF MICHIGAN
MI
Enumeration date
03/28/2006
Last updated
05/19/2008
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