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Individual

DR. VIJAY K DIXIT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
37300 GARFIELD RD, SUITE A, CLINTON TOWNSHIP, MI 48036-2051
(586) 263-9770
(586) 263-0735
Mailing address
37300 GARFIELD RD, SUITE A, CLINTON TOWNSHIP, MI 48036-2051
(586) 263-9770
(586) 263-0735

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
VD039924
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2405000462
BLUE CROSS BLUE SHIELD MI
MI
05
2591164
MI
Enumeration date
10/17/2005
Last updated
07/08/2007
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