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Organization

CHAU PLASTIC SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE THUYENMY CHAU DO (OWNER)
(248) 799-2880
Entity
Organization

Contact information

Practice address
27901 WOODWARD AVE, SUITE 100, BERKLEY, MI 48072-0919
(248) 799-2880
(248) 414-3959
Mailing address
27901 WOODWARD AVE, SUITE 100, BERKLEY, MI 48072-0919
(248) 799-2880
(248) 414-3959

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
5101008859
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17035
MCARE
MI
01
2456312884
BLUE CROSS BLUE SHIELD
MI
01
4555188
AETNA
MI
01
5631288
BLUE CARE NETWORK
MI
01
E14849
HAP
MI
Enumeration date
06/21/2007
Last updated
12/20/2010
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