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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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