Organization
DR STEPHEN D SENECOFF MD PC
Active
Organization
DR STEPHEN D SENECOFF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN D SENECOFF MD (OWNER)
(248) 539-9450
Entity
Organization
Contact information
Practice address
30500 NORTHWESTERN HWY, STE 316, FARMINGTON HILLS, MI 48334-3159
(248) 539-9450
(248) 539-9457
Mailing address
30500 NORTHWESTERN HWY, STE 316, FARMINGTON HILLS, MI 48334-3159
(248) 539-9450
(248) 539-9457
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0637924
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/04/2007
Last updated
11/02/2007
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