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Organization

THE VEIN CLINIC AT UNASOURCE, P.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY A BIEREMA M.D. (OWNER)
(248) 267-5015
Entity
Organization

Contact information

Practice address
4550 INVESTMENT DRIVE, SUITE 270, TROY, MI 48098-6362
(248) 267-5015
(248) 267-5016
Mailing address
4550 INVESTMENT DRIVE, SUITE 270, TROY, MI 48098-6362
(248) 267-5015
(248) 267-5016

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020F355860
BLUE CROSS AND BLUE SHIELD OF MI
MI
Enumeration date
03/20/2008
Last updated
08/19/2008
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