Individual
DR. BRUCE THUYENMY CHAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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
10/25/2006
Last updated
12/20/2010
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